HCPCS J9294

Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg

HCPCS Information

HCPCS Code: J9294
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 J9294 identifies the type of service or supply used while any of the 6 NDC codes below could be used to specify the exact drug used.
Short Description
Inj pemetrexed, hospira 10mg
Long Description
Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 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
$4.93
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
0409-0004Pemetrexed PemetrexedInjection, Solution, ConcentrateIntravenousHospira, Inc.ACTIVE
0409-0020Pemetrexed PemetrexedInjection, Solution, ConcentrateIntravenousHospira, Inc.ACTIVE
0409-0021Pemetrexed PemetrexedInjection, Solution, ConcentrateIntravenousHospira, Inc.ACTIVE
0409-1045Pemetrexed PemetrexedInjection, Solution, ConcentrateIntravenousHospira, Inc.ACTIVE
0409-2188Pemetrexed PemetrexedInjection, Solution, ConcentrateIntravenousHospira, Inc.ACTIVE
0409-3532Pemetrexed PemetrexedInjection, Solution, ConcentrateIntravenousHospira, Inc.ACTIVE