FULVESTRANT J Code: J9393
Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg
Drug & Product Overview
About FULVESTRANT
Fulvestrant is a medication aligned to the HCPCS J Code: J9393 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intramuscular route and manufactured by Avyxa Pharma.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J9393. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | FULVESTRANT | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
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 |
FULVESTRANT 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 |
CMS has identified Fulvestrant (J9393) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
FULVESTRANT Medically Unlikely Edits (MUE)
The most billing units of J9393 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 →
FULVESTRANT 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 Fulvestrant billing and coding guide?
Are there any available Fulvestrant patient assistance programs?
Where can I find Fulvestrant prescribing information?
Where can I find Fulvestrant side effect information?
Does billing FULVESTRANT require JZ/JW wastage modifiers?
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