Home › Drug Codes › J Codes › J3240 · THYROGEN
Updated July 1st, 2026

THYROGEN J Code: J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

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Q4 2026 Medicare Payment Limit for J3240, effective October 1, 2026: $2,155.112 per HCPCS billing unit, down 0.2% from $2,158.661. From CMS's final file.

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Medicare Payment Limit ?
$2,158.661
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$2,158.661
/ HCPCS billing unit · APC 9108
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial
HCPCS Added Date January 1, 1986
Manufacturer Genzyme
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution

About THYROGEN

Thyrogen is a medication aligned to the HCPCS J Code: J3240 for billing, pricing, and reimbursement purposes in the United States. This Endocrinology medication is administered via the intramuscular route and manufactured by Genzyme.

According to CMS Drug Use Information: Drug uses not available

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
58468-0030-02 Thyrogen Genzyme Corporation 2 0.9 MG / 1 ML
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THYROGEN Pricing & Reimbursement

J3240 Private Payer Reimbursement
$2,125.48 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

THYROGEN 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
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
Not on the CMS JW / JZ list

CMS does not include Thyrogen (J3240) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3240. Wastage billing guide →

THYROGEN Medically Unlikely Edits (MUE)

The most billing units of J3240 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.9 mg.

Practitioner Office & Hospital Outpatient
1 unit / day
= 0.9 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.

THYROGEN 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.

Well-differentiated thyroid cancer
Drug Class
Thyroid Stimulating Hormone [EPC]Thyrotropin [CS]

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Frequently Asked Questions

Is there an available Thyrogen billing and coding guide?
Billing and coding information for THYROGEN can be found through Genzyme. Visit Here →
Are there any available Thyrogen patient assistance programs?
THYROGEN patient assistance information can be found through Genzyme. Visit Here →
Where can I find Thyrogen prescribing information?
THYROGEN prescribing information can be found at the link below: Visit Here →
Where can I find Thyrogen side effect information?
Our team has not yet identified a source of side effects information for THYROGEN. Please check back in a few weeks.
Does billing THYROGEN require JZ/JW wastage modifiers?
CMS does not include THYROGEN (J3240) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3240. For more information, visit the link below.

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