Home Drug Codes J Codes J9295 · PORTRAZZA
Updated July 1st, 2026

PORTRAZZA J Code: J9295

Injection, necitumumab, 1 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
$5.731
/ HCPCS billing unit · APC 9475
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, necitumumab, 1 mg
HCPCS Added Date January 1, 2017
Manufacturer Eli Lilly and Company
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Solution

About PORTRAZZA

Portrazza is a medication aligned to the HCPCS J Code: J9295 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the intravenous route and manufactured by Eli Lilly and Company.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to J9295. Package detail is available to logged-in subscribers.

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PORTRAZZA Pricing & Reimbursement

J9295 Private Payer Reimbursement
$5.77 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

PORTRAZZA Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 0%
Avg. Days to File 247.0days
Avg. Days to Pay 305.5days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J9295 claims analytics on FocalPoint →
OnPoint Oncology

PORTRAZZA 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)
JW / JZ modifiers apply

CMS has identified Portrazza (J9295) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

PORTRAZZA Medically Unlikely Edits (MUE)

The most billing units of J9295 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
800 units / day
= 800 mg per day

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

PORTRAZZA Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Squamous Non-Small Cell Lung Cancer (NSCLC)
Drug Class
Epidermal Growth Factor Receptor Antagonist [EPC]HER1 Antagonists [MoA]

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Frequently Asked Questions

Is there an available Portrazza billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for PORTRAZZA.
Are there any available Portrazza patient assistance programs?
PORTRAZZA patient assistance information can be found through Eli Lilly and Company. Visit Here →
Where can I find Portrazza prescribing information?
PORTRAZZA prescribing information can be found at the link below: Visit Here →
Where can I find Portrazza side effect information?
Information regarding PORTRAZZA's side effects can be found at MedlinePlus Visit Here →
Does billing PORTRAZZA require JZ/JW wastage modifiers?
CMS has identified PORTRAZZA(J9295) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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