PHOTOFRIN J Code: J9600
Injection, porfimer sodium, 75 mg
Drug & Product Overview
About PHOTOFRIN
Photofrin is a medication aligned to the HCPCS J Code: J9600 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by Pinnacle Biologics.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J9600. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | PHOTOFRIN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
PHOTOFRIN Pricing & Reimbursement
National median reimbursement across major commercial payers.
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PHOTOFRIN 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 Photofrin (J9600) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
PHOTOFRIN Medically Unlikely Edits (MUE)
The most billing units of J9600 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 75 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 →
PHOTOFRIN 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 Photofrin billing and coding guide?
Are there any available Photofrin patient assistance programs?
Where can I find Photofrin prescribing information?
Where can I find Photofrin side effect information?
Does billing PHOTOFRIN require JZ/JW wastage modifiers?
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