PEMETREXED (HOSPIRA) J Code: J9323
Injection, pemetrexed ditromethamine, 10 mg
Drug & Product Overview
About PEMETREXED (HOSPIRA)
Pemetrexed (hospira) is a medication aligned to the HCPCS J Code: J9323 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by Hospira, Inc.
According to CMS Drug Use Information: Pemetrexed is used to treat certain types of cancer (such as lung cancer, mesothelioma). It is a chemotherapy drug that works by slowing or stopping the growth of cancer cells.
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
2 NDC packages are crosswalked to J9323. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | PEMETREXED (HOSPIRA) | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | PEMETREXED (HOSPIRA) | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Pemetrexed 505(b)(2) Information:
PEMETREXED (HOSPIRA) 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 |
|---|---|
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) |
CMS has identified Pemetrexed (hospira) (J9323) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
PEMETREXED (HOSPIRA) Medically Unlikely Edits (MUE)
The most billing units of J9323 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 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 →
PEMETREXED (HOSPIRA) 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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Does billing PEMETREXED (HOSPIRA) require JZ/JW wastage modifiers?
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