HCPCS J9036

Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg

HCPCS Information

HCPCS Code: J9036
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 J9036 identifies the type of service or supply used while any of the 3 NDC codes below could be used to specify the exact drug used.
Short Description
Inj. belrapzo/bendamustine
Long Description
Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Carrier judgment
BETOS Type of Service
Chemotherapy
Medicare Payment Limit
$11.99
Medicare Co-Insurance Percentage
20.000%
Medicare Pricing Notes
AMP-based payment limit
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
10019-079Bendamustine Hydrochloride Bendamustine HydrochlorideInjectionIntravenousBaxter Healthcare CorporationACTIVE
42367-521Belrapzo Bendamustine HydrochlorideInjectionIntravenousEagle Pharmaceuticals, IncACTIVE
60505-6228Bendamustine Hydrochloride Bendamustine HydrochlorideInjection, SolutionIntravenousApotex CorpACTIVE