MICAFUNGIN SODIUM J Code: J2248
Injection, micafungin sodium, 1 mg
Q4 2026 Medicare Payment Limit for J2248, effective October 1, 2026: $0.203 per HCPCS billing unit, up 12.8% from $0.18. From CMS's final file.
Drug & Product Overview
About MICAFUNGIN SODIUM
Micafungin Sodium is a medication aligned to the HCPCS J Code: J2248 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-Fungal drug administered via the intravenous route and manufactured by multiple companies.
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 5 of 37 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00143-9361-01 | Micafungin | Hikma Pharmaceuticals USA Inc. | 50 | 50 MG |
| 00469-3211-10 | Mycamine | Astellas Pharma US, Inc. | 1000 | 100 MG |
| 16714-0164-10 | Micafungin Sodium | Northstar RxLLC | 500 | 50 MG |
| 25021-0190-10 | Micafungin | Sagent Pharmaceuticals | 50 | 50 MG / 5 ML |
| 60505-6119-05 | Micafungin | Apotex Corp | 500 | 50 MG |
| •••••-••••-•• Log in to view | MICAFUNGIN SODIUM | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | MICAFUNGIN SODIUM | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | MICAFUNGIN SODIUM | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
MICAFUNGIN SODIUM Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →
Historical Graphing and Billing Calculator
Log in to calculate billing and reimbursement with live ASP, WAC & AWP pricing.
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 | 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 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) |
CMS has identified Micafungin Sodium (J2248) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
MICAFUNGIN SODIUM Medically Unlikely Edits (MUE)
The most billing units of J2248 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 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 →
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.
Login for BuyandBill.com Analytics
Unlock deeper insights with BuyandBill’s Comparative Report!
- Compare ASP, WAC, and AWP across drugs.
- Visualize Drug Price Movement Over Time
- Tailor reports to drug class, manufacturer, or HCPCS Code.
- Compare Biosimilar and 505(b)(2) products.
Frequently Asked Questions
Is there an available Micafungin Sodium billing and coding guide?
Are there any available Micafungin Sodium patient assistance programs?
Where can I find Micafungin Sodium prescribing information?
Where can I find Micafungin Sodium side effect information?
Does billing MICAFUNGIN SODIUM require JZ/JW wastage modifiers?
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.
Related Drug Codes
Explore billing, coding, and pricing for drugs related to MICAFUNGIN SODIUM.
