LEUPROLIDE ACETATE J Code: J9219
Leuprolide acetate implant, 65 mg
Drug & Product Overview
About LEUPROLIDE ACETATE
Leuprolide Acetate is a medication aligned to the HCPCS J Code: J9219 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the subcutaneous route.
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NDC Code Information
No NDC packages are aligned to J9219 in publicly available CMS files.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| No public NDC alignments | ||||
LEUPROLIDE ACETATE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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LEUPROLIDE ACETATE 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 Leuprolide Acetate (J9219) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9219. Wastage billing guide →
LEUPROLIDE ACETATE Medically Unlikely Edits (MUE)
The most billing units of J9219 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 65 mg. The limit is different in the office and the hospital. Use the one for your setting.
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 →
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Frequently Asked Questions
Is there an available Leuprolide acetate billing and coding guide?
Are there any available Leuprolide acetate patient assistance programs?
Where can I find Leuprolide acetate prescribing information?
Where can I find Leuprolide acetate side effect information?
Does billing Leuprolide acetate require JZ/JW wastage modifiers?
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