FLUOROURACIL J Code: J9190
Injection, fluorouracil, 500 mg
Drug & Product Overview
About FLUOROURACIL
Fluorouracil is a medication aligned to the HCPCS J Code: J9190 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the intravenous route and manufactured by multiple companies.
According to CMS Drug Use Information: Fluorouracil is used to treat various types of cancer. It is a chemotherapy drug that is used to slow or stop cancer 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 33 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 16729-0276-38 | Fluorouracil | Accord Healthcare, Inc. | 10 | 5000 MG / 100 ML |
| 25021-0215-98 | fluorouracil | Sagent Pharmaceuticals | 5 | 2500 MG / 50 ML |
| 55150-0498-01 | Fluorouracil | Eugia Us Llc | 5 | 5000 MG / 100 ML |
| 62332-0751-50 | Fluorouracil | Alembic Pharmaceuticals Inc. | 5 | 2500 MG / 50 ML |
| 63323-0117-10 | Fluorouracil | Fresenius Kabi USA, LLC | 10 | 500 MG / 10 ML |
| •••••-••••-•• Log in to view | FLUOROURACIL | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | FLUOROURACIL | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | FLUOROURACIL | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
FLUOROURACIL Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →FLUOROURACIL Claims Performance
Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore J9190 claims analytics on FocalPoint →
FLUOROURACIL 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) |
CMS does not include Fluorouracil (J9190) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9190. Wastage billing guide →
FLUOROURACIL Medically Unlikely Edits (MUE)
The most billing units of J9190 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 500 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 →
FLUOROURACIL 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 Fluorouracil billing and coding guide?
Are there any available Fluorouracil patient assistance programs?
Where can I find Fluorouracil prescribing information?
Where can I find Fluorouracil side effect information?
Does billing FLUOROURACIL require JZ/JW wastage modifiers?
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