HCPCS J9395

Injection, fulvestrant, 25 mg

HCPCS Information

HCPCS Code: J9395
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 J9395 identifies the type of service or supply used while any of the 21 NDC codes below could be used to specify the exact drug used.
Short Description
Injection, fulvestrant
Long Description
Injection, fulvestrant, 25 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
$6.98
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
0143-9022Fulvestrant FulvestrantInjectionIntramuscularHikma Pharmaceuticals Usa Inc.ACTIVE
0310-0720Faslodex FulvestrantInjectionIntramuscularAstrazeneca Pharmaceuticals LpACTIVE
0781-3532Fulvestrant FulvestrantInjectionIntramuscularSandoz IncACTIVE
0781-9055Fulvestrant FulvestrantInjectionIntramuscularSandoz IncACTIVE
16714-070Fulvestrant FulvestrantInjection, SolutionIntramuscularNorthstar Rx, Llc,ACTIVE
16729-436Fulvestrant FulvestrantInjectionIntramuscularAccord Healthcare Inc.ACTIVE
25021-462Fulvestrant Sagent Pharmaceuticals
25021-471Fulvestrant FulvestrantInjection, SolutionIntramuscularSagent PharmaceuticalsACTIVE
43598-262Fulvestrant FulvestrantInjection, SolutionIntramuscularDr.reddy's Laboratories IncACTIVE
55150-394Fulvestrant FulvestrantInjectionIntravenousEugia Us LlcACTIVE
62332-650Fulvestrant FulvestrantInjectionIntramuscularAlembic Pharmaceuticals Inc.ACTIVE
67457-311Fulvestrant Mylan Institutional Llc
68001-484Fulvestrant FulvestrantInjection, SolutionIntramuscularBluepoint LaboratoriesACTIVE
68001-522Fulvestrant FulvestrantInjectionIntramuscularBluepoint LaboratoriesACTIVE
68001-626Fulvestrant FulvestrantInjectionIntramuscularBluepoint Laboratories.ACTIVE
70121-1463Fulvestrant FulvestrantInjection, SolutionIntramuscularAmneal Pharmaceuticals LlcACTIVE
70700-284Fulvestrant FulvestrantInjection, SolutionIntramuscularXiromed, LlcACTIVE
70710-1688Fulvestrant FulvestrantInjection, SolutionIntramuscularZydus Pharmaceuticals Usa Inc.ACTIVE
70860-211Fulvestrant FulvestrantInjection, SolutionIntramuscularAthenex Pharmaceutical Division, Llc.ACTIVE
71288-555Fulvestrant FulvestrantInjectionIntramuscularMeitheal Pharmaceuticals IncACTIVE
83634-203Fulvestrant FulvestrantInjection, SolutionIntramuscularAvenacy, Inc.ACTIVE