HISTRELIN J Code: J9225
Histrelin implant (vantas), 50 mg
Drug & Product Overview
About HISTRELIN
Histrelin is a medication aligned to the HCPCS J Code: J9225 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the subcutaneous route and manufactured by Endo Pharmaceuticals.
Manufacturers, reach out to us to add more information.
NDC Code Information
No NDC packages are aligned to J9225 in publicly available CMS files.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| No public NDC alignments | ||||
HISTRELIN Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →
HISTRELIN 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 |
|---|---|
| 96402 | Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic |
CMS does not include Histrelin (J9225) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9225. Wastage billing guide →
HISTRELIN Medically Unlikely Edits (MUE)
The most billing units of J9225 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 50 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 →
Login for BuyandBill.com Analytics
Unlock deeper insights with BuyandBill’s Comparative Report!
- Compare ASP, WAC, and AWP across drugs.
- Visualize Drug Price Movement Over Time
- Tailor reports to drug class, manufacturer, or HCPCS Code.
- Compare Biosimilar and 505(b)(2) products.
Frequently Asked Questions
Is there an available Histrelin billing and coding guide?
Are there any available Histrelin patient assistance programs?
Where can I find Histrelin prescribing information?
Where can I find Histrelin side effect information?
Does billing Histrelin require JZ/JW wastage modifiers?
About BuyandBill.com:
The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.
Related Drug Codes
Explore billing, coding, and pricing for drugs related to HISTRELIN.
