VALRUBICIN J Code: J9357
Injection, valrubicin, intravesical, 200 mg
Drug & Product Overview
About VALRUBICIN
Valrubicin is a medication aligned to the HCPCS J Code: J9357 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravesical route and manufactured by multiple companies.
According to CMS Drug Use Information: Valrubicin is used to treat bladder cancer. The usual treatment for bladder cancer is surgery. However, if you and your doctor decide that the risk of surgery is greater than its benefit or that surgery may be delayed, this medication may be used as part of your treatment. This medication belongs to a class of drugs known as anthracyclines and works by slowing or stopping the growth of cancer cells. This medication may not cure your cancer. Delaying surgery could lead to a more serious illness (metastatic cancer). Discuss the risks and benefits of this medication with your doctor.
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 |
|---|---|---|---|---|
| 24201-0101-04 | Valrubicin Intravesical Solution | Hikma Pharmaceuticals USA Inc. | 4 | 200 MG / 5 ML |
| 67979-0001-01 | Valstar | Endo USA, Inc. | 4 | 200 MG / 5 ML |
VALRUBICIN Pricing & Reimbursement
National median reimbursement across major commercial payers.
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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 |
|---|---|
| 51720 | Bladder instillation of anticarcinogenic agent, including retention time |
CMS has identified Valrubicin (J9357) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
VALRUBICIN Medically Unlikely Edits (MUE)
The most billing units of J9357 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 200 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 →
VALRUBICIN 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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