HALAVEN J Code: J9179
Injection, eribulin mesylate, 0.1 mg
Q4 2026 Medicare Payment Limit for J9179, effective October 1, 2026: $63.972 per HCPCS billing unit, up 6.7% from $59.979. From CMS's final file.
Drug & Product Overview
About HALAVEN
Halaven is a medication aligned to the HCPCS J Code: J9179 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by multiple companies.
According to CMS Drug Use Information: Eribulin is used to treat certain types of cancer (breast, liposarcoma). It works by slowing or stopping 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 5 of 11 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00143-9167-01 | Eribulin Mesylate | HIKMA PHARMACEUTICALS USA INC. | 10 | 1 MG / 2 ML |
| 00781-3391-94 | Eribulin Mesylate | Sandoz Inc | 10 | 1 MG / 2 ML |
| 10019-0080-01 | Eribulin Mesylate | Baxter Healthcare Company | 10 | 1 MG / 2 ML |
| 43598-0125-11 | Eribulin Mesylate | Dr. Reddys Laboratories Inc | 10 | 1 MG / 2 ML |
| 60505-6289-00 | eribulin mesylate | Apotex Corp. | 10 | 1 MG / 2 ML |
| •••••-••••-•• Log in to view | HALAVEN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | HALAVEN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | HALAVEN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
HALAVEN Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →Historical Graphing and Billing Calculator
Log in to calculate billing and reimbursement with live ASP, WAC & AWP pricing.
Login to use the calculator →HALAVEN Claims Performance
Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore J9179 claims analytics on FocalPoint →
HALAVEN 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 has identified Halaven (J9179) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
HALAVEN Medically Unlikely Edits (MUE)
The most billing units of J9179 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 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 →
HALAVEN 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 Halaven billing and coding guide?
Are there any available Halaven patient assistance programs?
Where can I find Halaven prescribing information?
Where can I find Halaven side effect information?
Does billing HALAVEN require JZ/JW wastage modifiers?
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