Micafungin Sodium J Code: J2246
Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg
Drug & Product Overview
About Micafungin Sodium
Micafungin Sodium is a medication aligned to the HCPCS J Code: J2246 for billing, pricing, and reimbursement purposes in the United States. Classified under Anti-Fungal, it is administered via the intravenous route and manufactured by Baxter Healthcare.
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NDC Code Information
Based on publicly available CMS files. Showing 3 of 6 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00338-9051-12 | Micafungin in Sodium Chloride | Baxter Healthcare Corporation | 600 | 50 MG / 50 ML |
| 00338-9053-12 | Micafungin in Sodium Chloride | Baxter Healthcare Corporation | 1200 | 100 MG / 100 ML |
| 00338-9055-10 | Micafungin in Sodium Chloride | Baxter Healthcare Corporation | 1500 | 150 MG / 150 ML |
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Micafungin Sodium Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Historical Graphing and Billing Calculator
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Login to use the calculator →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 | Endo USA | 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 Sodium 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 |
|---|---|
| 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) |
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →
Micafungin Sodium Medically Unlikely Edits (MUE)
The most billing units of J2246 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 →
Micafungin Sodium 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
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