HCPCS J8530

Cyclophosphamide; oral, 25 mg

HCPCS Information

HCPCS Code: J8530
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 J8530 identifies the type of service or supply used while any of the 5 NDC codes below could be used to specify the exact drug used.
Short Description
Cyclophosphamide oral 25 mg
Long Description
Cyclophosphamide; oral, 25 mg
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Special coverage instructions apply
BETOS Type of Service
Chemotherapy
Medicare Payment Limit
$1.98
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
0054-0382Cyclophosphamide CyclophosphamideCapsuleOralHikma Pharmaceuticals Usa Inc.ACTIVE
0054-0383Cyclophosphamide CyclophosphamideCapsuleOralHikma Pharmaceuticals Usa Inc.ACTIVE
10019-984Cyclophosphamide CyclophosphamideTabletOralBaxter Healthcare CompanyACTIVE
69097-516Cyclophosphamide CyclophosphamideCapsuleOralCipla Usa Inc.ACTIVE
69097-517Cyclophosphamide CyclophosphamideCapsuleOralCipla Usa Inc.ACTIVE