FASLODEX J Code: J9395
Injection, fulvestrant, 25 mg
Q4 2026 Medicare Payment Limit for J9395, effective October 1, 2026: $5.021 per HCPCS billing unit, down 4.9% from $5.277. From CMS's final file.
Drug & Product Overview
About FASLODEX
Faslodex is a medication aligned to the HCPCS J Code: J9395 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intramuscular or intravenous routes and manufactured by multiple companies.
According to CMS Drug Use Information: Fulvestrant is used to treat certain types of breast cancer. Breast cancer cells need the hormone estrogen in order to grow. Fulvestrant works by blocking the effect of estrogen, slowing tumor cell growth.
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 5 of 29 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00143-9022-02 | Fulvestrant | Hikma Pharmaceuticals USA Inc. | 20 | 250 MG / 5 ML |
| 00310-0720-10 | Faslodex | AstraZeneca Pharmaceuticals LP | 20 | 250 MG / 5 ML |
| 00781-3532-12 | Fulvestrant | Sandoz Inc | 20 | 250 MG / 5 ML |
| 16714-0070-02 | Fulvestrant | Northstar Rx, LLC, | 20 | 250 MG / 5 ML |
| 16729-0436-30 | Fulvestrant | Accord Healthcare Inc. | 20 | 250 MG / 5 ML |
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FASLODEX Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →Fulvestrant 505(b)(2) Information:
| HCPCS Code | Manufacturer | Active Ingredient | HCPCS Description |
|---|---|---|---|
| J9393 | Avyxa Pharma | Fulvestrant | Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg |
| J9394 | Fresenius Kabi | Fulvestrant | Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg |
| J9395 | Generic Code (Multiple Manufacturers) | Fulvestrant | Injection, fulvestrant, 25 mg |
FASLODEX 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 |
|---|---|
| 96401 | Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic |
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 Login for More | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) Login for More |
CMS has identified Faslodex (J9395) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
FASLODEX Medically Unlikely Edits (MUE)
The most billing units of J9395 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 25 mg.
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 →
FASLODEX 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 Faslodex billing and coding guide?
Are there any available Faslodex patient assistance programs?
Where can I find Faslodex prescribing information?
Where can I find Faslodex side effect information?
Does billing FASLODEX require JZ/JW wastage modifiers?
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