ETOPOSIDE J Code: J8560
Etoposide; oral, 50 mg
Drug & Product Overview
About ETOPOSIDE
Etoposide is a medication aligned to the HCPCS J Code: J8560 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the oral route and manufactured by multiple companies.
According to CMS Drug Use Information: Etoposide is used to treat certain forms of lung cancer (such as small cell lung cancer). Etoposide works by slowing the growth of cancer cells.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
Based on publicly available CMS files. Showing 1 of 2 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00378-3266-94 | Etoposide | Mylan Pharmaceuticals Inc. | 20 | 50 MG |
| •••••-••••-•• Log in to view | ETOPOSIDE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
ETOPOSIDE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →ETOPOSIDE CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) |
| 96409 Login for More | Chemotherapy administration; intravenous, push technique, single or initial substance/drug Login for More |
| 96417 Login for More | Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug) up to 1 hour (List separately in addition to code for primary procedure) Login for More |
CMS does not include Etoposide (J8560) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J8560. Wastage billing guide →
ETOPOSIDE Medically Unlikely Edits (MUE)
The most billing units of J8560 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 50 mg. The limit is different in the office and the hospital. Use the one for your setting.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
ETOPOSIDE Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
Is there an available Etoposide billing and coding guide?
Are there any available Etoposide patient assistance programs?
Where can I find Etoposide prescribing information?
Where can I find Etoposide side effect information?
Does billing ETOPOSIDE require JZ/JW wastage modifiers?
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