HCPCS J9196

Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg

HCPCS Code: J9196: 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 J9196 identifies the type of service or supply used while any of the 7 NDC codes below could be used to specify the exact drug used.
Short Description: Inj gemcitabine hcl (accord)
Long Description: Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 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: $5.29
Medicare Co-Insurance Percentage: 18.251%
Medicare Pricing Notes: Inflation-adjusted coinsurance
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-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
16729-391	Gemcitabine	Gemcitabine	Injection, Solution	Intravenous	Accord Healthcare Inc.	ACTIVE
16729-419	Gemcitabine	Gemcitabine	Injection, Solution	Intravenous	Accord Healthcare Inc.	ACTIVE
16729-423	Gemcitabine	Gemcitabine	Injection, Solution	Intravenous	Accord Healthcare Inc.	ACTIVE
16729-426	Gemcitabine	Gemcitabine	Injection, Solution	Intravenous	Accord Healthcare Inc.	ACTIVE
68001-342	Gemcitabine	Gemcitabine	Injection, Solution	Intravenous	Bluepoint Laboratories	ACTIVE
68001-348	Gemcitabine	Gemcitabine	Injection, Solution	Intravenous	Bluepoint Laboratories	ACTIVE
68001-359	Gemcitabine	Gemcitabine	Injection, Solution	Intravenous	Bluepoint Laboratories	ACTIVE