Melphalan (Apotex) J Code: J9249
Injection, melphalan (apotex), 1 mg
Drug & Product Overview
About Melphalan (Apotex)
Melphalan (apotex) is a medication aligned to the HCPCS J Code: J9249 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by Apotex.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J9249. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | Melphalan (Apotex) | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Melphalan (Apotex) Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Melphalan Hcl 505(b)(2) Information:
| HCPCS Code | Manufacturer | Active Ingredient | HCPCS Description |
|---|---|---|---|
| J9249 | Apotex | Melphalan Hcl | Injection, melphalan (apotex), 1 mg |
Melphalan (Apotex) 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 |
|---|---|
| 96409 | Chemotherapy administration; intravenous, push technique, single or initial substance/drug |
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 Login for More | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) Login for More |
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →
Melphalan (Apotex) Medically Unlikely Edits (MUE)
The most billing units of J9249 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 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 →
Melphalan (Apotex) 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 Melphalan (Apotex) billing and coding guide?
Are there any available Melphalan (Apotex) patient assistance programs?
Where can I find TOFIDENCE prescribing information?
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Does billing Melphalan (Apotex) require JZ/JW wastage modifiers?
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