Pemetrexed J Code: J9296
Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg
Drug & Product Overview
About Pemetrexed
Pemetrexed is a medication aligned to the HCPCS J Code: J9296 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by Accord.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J9296. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | Pemetrexed | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Pemetrexed Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Pemetrexed 505(b)(2) Information:
Pemetrexed 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 (J9296) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
Pemetrexed Medically Unlikely Edits (MUE)
The most billing units of J9296 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 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
Is there an available Pemetrexed billing and coding guide?
Are there any available Pemetrexed patient assistance programs?
Where can I find Pemetrexed prescribing information?
Where can I find Pemetrexed side effect information?
Does billing Pemetrexed require JZ/JW wastage modifiers?
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