FOSCARNET SODIUM J Code: J1455

Drug & Product Overview

HCPCS Descriptor Injection, foscarnet sodium, per 1000 mg

HCPCS Added Date January 1, 1993

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection | Injection, Solution

About FOSCARNET SODIUM

Foscarnet Sodium is a medication aligned to the HCPCS J Code: J1455 for billing, pricing, and reimbursement purposes in the United States. This Antiviral medication is administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: This medication is used to control cytomegalovirus (CMV) eye infections (CMV retinitis) in persons with AIDS. This medication is an antiviral that works by stopping the growth of viruses. Controlling CMV retinitis can help decrease the risk of blindness from the infection. Foscarnet is sometimes combined with another antiviral drug, ganciclovir, when the CMV infection does not respond to either drug used alone for treatment. This medication is also used to treat herpes infections (HSV) that do not respond to treatment with acyclovir (acyclovir-resistant). This medication is not a cure for CMV or HSV diseases.

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 8 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00143-9192-01	Foscarnet Sodium	Hikma Pharmaceuticals USA Inc.	60	6000 MG / 250 ML
25021-0189-84	Foscarnet Sodium	Sagent Pharmaceuticals	60	6000 MG / 250 ML
43066-0089-10	Foscarnet Sodium	Baxter Healthcare Corporation	60	6000 MG / 250 ML
63323-0875-50	Foscarnet	Fresenius Kabi USA, LLC	6	6000 MG / 250 ML
70121-1744-02	Foscarnet Sodium	Amneal Pharmaceuticals LLC	72	6000 MG / 250 ML
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FOSCARNET SODIUM Pricing & Reimbursement

J1455 Private Payer Reimbursement

$8.88 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

FOSCARNET SODIUM CPT Administration Codes

CPT Code	Description
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

JW / JZ modifiers apply

CMS has identified Foscarnet Sodium (J1455) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

FOSCARNET SODIUM Medically Unlikely Edits (MUE)

The most billing units of J1455 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1000 mg.

Practitioner Office & Hospital Outpatient

18 units / day

= 18,000 mg per day

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 →

FOSCARNET SODIUM Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Acyclovir-Resistant Mucocutaneous HSV Infections CMV Retinitis Mucocutaneous Acyclovir Resistant HSV Infections Mucocutaneous Acyclovir-Resistant HSV Infections

Drug Class

Chelating Activity [MoA]DNA Polymerase Inhibitors [MoA]Pyrophosphate Analog DNA Polymerase Inhibitor [EPC]Pyrophosphate Analog [EXT]

Frequently Asked Questions

Is there an available Foscarnet Sodium billing and coding guide?

We have not yet identified a manufacturer source of Foscarnet Sodium billing and coding information.

Are there any available Foscarnet Sodium patient assistance programs?

Our team did not identify a source for Foscarnet Sodium patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Foscarnet Sodium prescribing information?

FOSCARNET SODIUM prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Foscarnet Sodium side effect information?

Our team has not yet identified a source of side effects information for FOSCARNET SODIUM. Please check back in a few weeks.

Does billing FOSCARNET SODIUM require JZ/JW wastage modifiers?

CMS has identified FOSCARNET SODIUM(J1455) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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