Oncaspar J Code: J9266
Injection, pegaspargase, per single dose vial
Drug & Product Overview
About Oncaspar
Oncaspar is a medication aligned to the HCPCS J Code: J9266 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intramuscular or intravenous routes and manufactured by Servier Pharmaceuticals.
According to CMS Drug Use Information: This medication is usually used to treat acute lymphocytic leukemia (ALL), especially in patients who are allergic to L-asparaginase. It works by starving tumor cells of a certain amino acid (asparagine), causing the tumor cells to die.
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. The list of NDCs below is not exhaustive.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 72694-0954-01 | Oncaspar | Servier Pharmaceuticals LLC | 1 | Oncaspar Intramuscular Injection 3750 … Login for More |
Oncaspar Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
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Oncaspar 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 |
|---|---|
| 96401 | Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic |
| 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 |
CMS has identified Oncaspar (J9266) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
Oncaspar Medically Unlikely Edits (MUE)
The most billing units of J9266 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 each.
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 →
Oncaspar 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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