Micafungin J Code: J2247

Drug & Product Overview

HCPCS Descriptor Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg

HCPCS Added Date January 1, 2023

Manufacturer Endo USA

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution

About Micafungin

Micafungin is a medication aligned to the HCPCS J Code: J2247 for billing, pricing, and reimbursement purposes in the United States. This Anti-Fungal medication is administered via the intravenous route and manufactured by Endo USA.

According to CMS Drug Use Information: This medication is used to treat a variety of fungal infections. It is also used to prevent fungal infections in patients who are having a stem cell transplant. Micafungin belongs to a class of drugs known as echinocandins. It works by stopping the growth of fungi.

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 2 of 4 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
42023-0229-10	Micafungin	Endo USA, Inc.	500	100 MG / 10 ML
42023-0230-10	Micafungin	Endo USA, Inc.	1000	200 MG / 10 ML
•••••-••••-•• Log in to view	Micafungin
	Micafungin

Login to view 2 more NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

Login →

Micafungin Pricing & Reimbursement

J2247 Private Payer Reimbursement

$0.66 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

Micafungin Sodium 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J2246	Baxter Healthcare	Micafungin Sodium	Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg
J2247	Generic Code (Multiple Manufacturers)	Micafungin Sodium	Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg
J2248	Generic Code (Multiple Manufacturers)	Micafungin Sodium	Injection, micafungin sodium, 1 mg

Micafungin CPT Administration Codes

CPT Code	Description
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

Not on the CMS JW / JZ list

CMS does not include Micafungin (J2247) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2247. Wastage billing guide →

Micafungin Medically Unlikely Edits (MUE)

The most billing units of J2247 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

150 units / day

= 150 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 →

Micafungin 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.

Candidemia, Acute Disseminated Candidiasis, Candida Peritonitis and Abscesses Esophageal Candidiasis Prophylaxis of Candida Infections in HSCT Recipients

Drug Class

Echinocandin Antifungal [EPC]Lipopeptides [CS]

Frequently Asked Questions

Is there an available Micafungin billing and coding guide?

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

Are there any available Micafungin patient assistance programs?

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

Where can I find Micafungin prescribing information?

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

Where can I find Micafungin side effect information?

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

Does billing Micafungin require JZ/JW wastage modifiers?

CMS does not include Micafungin (J2247) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2247. 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.