HCPCS J0637

Injection, caspofungin acetate, 5 mg

HCPCS Information

HCPCS Code: J0637
The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J0637 identifies the type of service or supply used while any of the 20 NDC codes below could be used to specify the exact drug used.
Short Description
Caspofungin acetate
Long Description
Injection, caspofungin acetate, 5 mg
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Carrier judgment
BETOS Type of Service
Other drugs
Medicare Payment Limit
$2.27
Medicare Co-Insurance Percentage
20.000%
HCPCS Classification
List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC Proprietary Name Non-Proprietary Name Dosage Form Route Name Company Name Status
0006-3822Cancidas Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousMerck Sharp & Dohme LlcACTIVE
0006-3823Cancidas Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousMerck Sharp & Dohme LlcACTIVE
0781-3421Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousSandoz IncACTIVE
0781-3423Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousSandoz IncACTIVE
25021-194Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousSagent PharmaceuticalsACTIVE
25021-195Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousSagent PharmaceuticalsACTIVE
47781-613Caspofungin Acetate Alvogen Inc.
47781-614Caspofungin Acetate Alvogen Inc.
59923-613Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousAreva PharmaceuticalsACTIVE
59923-614Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousAreva PharmaceuticalsACTIVE
63323-356Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
63323-358Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
67457-831Caspofungin Acetate Mylan Institutional Llc
67457-832Caspofungin Acetate Mylan Institutional Llc
70860-106Caspofungin Acetate Athenex Pharmaceutical Division, Llc.
70860-107Caspofungin Acetate Athenex Pharmaceutical Division, Llc.
72266-106Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousFosun Pharma Usa Inc.ACTIVE
72266-107Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousFosun Pharma Usa Inc.ACTIVE
72611-700Caspofungin Acetate Caspofungin AcetateInjection, Powder, Lyophilized, For SolutionIntravenousAlmaject, Inc.ACTIVE
72611-702Caspofungin Acetate Almaject, Inc.