INFUGEM J Code: J9198

Drug & Product Overview

HCPCS Descriptor Injection, gemcitabine hydrochloride, (infugem), 100 mg

HCPCS Added Date July 1, 2020

Manufacturer Sun Pharma

Route of Administration Intravenous

Generic Status Single-Source; Branded

About INFUGEM

Infugem is a medication aligned to the HCPCS J Code: J9198 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by Sun Pharma.

Manufacturers, reach out to us to add more information.

NDC Code Information

10 NDC packages are crosswalked to J9198. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	INFUGEM
	INFUGEM
	INFUGEM
	INFUGEM

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INFUGEM Pricing & Reimbursement

J9198 Private Payer Reimbursement

$39.59 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Gemcitabine 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J9184	Avyxa Pharma	Gemcitabine	Injection, gemcitabine hydrochloride (avyxa), 200 mg
J9196	Accord	Gemcitabine	Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg
J9198	Sun Pharma	Gemcitabine	Injection, gemcitabine hydrochloride, (infugem), 100 mg
J9201	Generic Code (Multiple Manufacturers)	Gemcitabine	Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg

INFUGEM CPT Administration Codes

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)

Not on the CMS JW / JZ list

CMS does not include Infugem (J9198) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9198. Wastage billing guide →

INFUGEM Medically Unlikely Edits (MUE)

The most billing units of J9198 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 100 mg.

Practitioner Office & Hospital Outpatient

38 units / day

= 3,800 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 →

INFUGEM 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.

Ovarian cancer Metastatic breast cancer Non-small cell lung cancer Pancreatic cancer

Frequently Asked Questions

Is there an available Infugem billing and coding guide?

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

Are there any available Infugem patient assistance programs?

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

Where can I find Infugem prescribing information?

INFUGEM prescribing information can be found at the link below: Visit Here →

Where can I find Infugem side effect information?

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

Does billing INFUGEM require JZ/JW wastage modifiers?

CMS does not include INFUGEM (J9198) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9198. For more information, visit the link below.

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.