J codes for chemotherapy drugs 2020

J codes for chemotherapy drugs 2020

J codes typically represent drugs that are not self-administered, inhalation solutions and chemotherapy drugs. Q codes are temporary codes that the Centers for Medicare & Medicaid Services (CMS) establishes to represent services and supplies that do not yet have a permanent code.

What are the CPT codes for chemotherapy?

According to CMS,

  • Chemotherapy administration services: CPT codes 9640096408 to 96425, 96520 and 96530
  • Therapeutic or diagnostic infusions (excluding chemotherapy): CPT codes 90780 to 90781
  • Drug injection codes (90782 to 90788) are paid under the Medicare physician fee schedule.

For chemotherapy administration services furnished prior to January 1, 2004, the carrier allowed CPT code 96408 (Chemotherapy administration, intravenous; push technique) to be reported only once per day, even if the physician administered multiple drugs.

Chemotherapy Drugs HCPCS Code range J9000-J9999

The HCPCS codes range Chemotherapy Drugs J9000-J9999 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.

HCPCS Code range (J9000-J9999), Chemotherapy Drugs, contains HCPCS codes for Injection, doxorubicin hydrochloride 10 mg, alemtuzumab 10 mg, aldesleukin per single use vial, arsenic trioxide 1 mg, asparaginase (erwinaze) 1,000 iu, azacitidine 1 mg, clofarabine 1 mg, bendamustine hcl 1 mg, Bcg (intravesical) per instillation.

J9000: Injection, doxorubicin hydrochloride, 10 mg

J9015: Injection, aldesleukin, per single use vial

J9017: Injection, arsenic trioxide, 1 mg

J9019: Injection, asparaginase (Erwinaze), 1, 000 IU

J9020: Injection, asparaginase, not otherwise specified, 10, 000 units

J9022: Injection, atezolizumab, 10 mg

J9023: Injection, avelumab, 10 mg

J9025: Injection, azacitidine, 1 mg

J9027: Injection, clofarabine, 1 mg

J9030: BCG live intravesical instillation, 1 mg

J9032: Injection, belinostat, 10 mg

J9033: Injection, bendamustine HCL (treanda), 1 mg

J9034: Injection, bendamustine HCL (bendeka), 1 mg

J9035: Injection, bevacizumab, 10 mg

J9036: Injection, bendamustine hydrochloride, (Belrapzo), 1 mg

J9039: Injection, blinatumomab, 1 microgram

J9040: Injection, bleomycin sulfate, 15 units

J9041: Injection, bortezomib (velcade), 0.1 mg

J9042: Injection, brentuximab vedotin, 1 mg

J9043: Injection, cabazitaxel, 1 mg

J9044: Injection, bortezomib, not otherwise specified, 0.1 mg

J9045: Injection, carboplatin, 50 mg

J9047: Injection, carfilzomib, 1 mg

J9050: Injection, carmustine, 100 mg

J9055: Injection, cetuximab, 10 mg

J9057: Injection, copanlisib, 1 mg

J9060: Injection, cisplatin, powder or solution, 10 mg

J9065: Injection, cladribine, per 1 mg

J9070: Cyclophosphamide, 100 mg

J9098: Injection, cytarabine liposome, 10 mg

J9100: Injection, cytarabine, 100 mg

J9118: Injection, calaspargase pegol-mknl, 10 units

J9119: Injection, cemiplimab-rwlc, 1 mg

J9120: Injection, dactinomycin, 0.5 mg

J9130: Dacarbazine, 100 mg

J9145: Injection, daratumumab, 10 mg

J9150: Injection, daunorubicin, 10 mg

J9151: Injection, daunorubicin Citrate, liposomal formulation, 10 mg

J9153: Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

J9155: Injection, degarelix, 1 mg

J9160: Injection, denileukin diftitox, 300 micrograms

J9165: Injection, diethylstilbestrol diphosphate, 250 mg

J9171: Injection, docetaxel, 1 mg

J9173: Injection, durvalumab, 10 mg

J9175: Injection, Elliotts’ B solution, 1 ml

J9176: Injection, elotuzumab, 1 mg

J9177: Injection, enfortumab vedotin-ejfv, 0.25 mg

J9178: Injection, epirubicin HCl, 2 mg

J9179: Injection, eribulin mesylate, 0.1 mg

J9181: Injection, etoposide, 10 mg

J9185: Injection, fludarabine phosphate, 50 mg

J9190: Injection, fluorouracil, 500 mg

J9198: Injection, gemcitabine hydrochloride, (infugem), 100 mg

J9200: Injection, floxuridine, 500 mg

J9201: Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg

J9202: Goserelin acetate implant, per 3.6 mg

J9203: Injection, gemtuzumab ozogamicin, 0.1 mg

J9204: Injection, mogamulizumab-kpkc, 1 mg

J9205: Injection, irinotecan liposome, 1 mg

J9206: Injection, irinotecan, 20 mg

J9207: Injection, ixabepilone, 1 mg

J9208: Injection, ifosfamide, 1 gram

J9209: Injection, mesna, 200 mg

J9210: Injection, emapalumab-lzsg, 1 mg

J9211: Injection, idarubicin hydrochloride, 5 mg

J9212: Injection, interferon alfacon-1, recombinant, 1 microgram

J9213: Injection, interferon, alfa-2a, recombinant, 3 million units

J9214: Injection, interferon, alfa-2b, recombinant, 1 million units

J9215: Injection, interferon, alfa-N3, (human leukocyte derived), 250, 000 IU

J9216: Injection, interferon, gamma 1-b, 3 million units

J9217: Leuprolide acetate (for depot suspension), 7.5 mg

J9218: Leuprolide acetate, per 1 mg

J9219: Leuprolide acetate implant, 65 mg

J9225: Histrelin implant (Vantas), 50 mg

J9226: Histrelin implant (Supprelin LA), 50 mg

J9228: Injection, ipilimumab, 1 mg

J9229: Injection, inotuzumab ozogamicin, 0.1 mg

J9230: Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg

J9245: Injection, melphalan hydrochloride, not otherwise specified, 50 mg

J9246: Injection, melphalan (evomela), 1 mg

J9250: Methotrexate sodium, 5 mg

J9260: Methotrexate sodium, 50 mg

J9261: Injection, nelarabine, 50 mg

J9262: Injection, omacetaxine mepesuccinate, 0.01 mg

J9263: Injection, oxaliplatin, 0.5 mg

J9264: Injection, paclitaxel protein-bound particles, 1 mg

J9266: Injection, pegaspargase, per single dose vial

J9267: Injection, paclitaxel, 1 mg

J9268: Injection, pentostatin, 10 mg

J9269: Injection, tagraxofusp-erzs, 10 micrograms

J9270: Injection, plicamycin, 2.5 mg

J9271: Injection, pembrolizumab, 1 mg

J9280: Injection, mitomycin, 5 mg

J9285: Injection, olaratumab, 10 mg

J9293: Injection, mitoxantrone hydrochloride, per 5 mg

J9295: Injection, necitumumab, 1 mg

J9299: Injection, nivolumab, 1 mg

J9301: Injection, obinutuzumab, 10 mg

J9302: Injection, ofatumumab, 10 mg

J9303: Injection, panitumumab, 10 mg

J9305: Injection, pemetrexed, 10 mg

J9306: Injection, pertuzumab, 1 mg

J9307: Injection, pralatrexate, 1 mg

J9308: Injection, ramucirumab, 5 mg

J9309: Injection, polatuzumab vedotin-piiq, 1 mg

J9311: Injection, rituximab 10 mg and hyaluronidase

J9312: Injection, rituximab, 10 mg

J9313: Injection, moxetumomab pasudotox-tdfk, 0.01 mg

J9315: Injection, romidepsin, 1 mg

J9320: Injection, streptozocin, 1 gram

J9325: Injection, talimogene laherparepvec, per 1 million plaque forming units

J9328: Injection, temozolomide, 1 mg

J9330: Injection, temsirolimus, 1 mg

J9340: Injection, thiotepa, 15 mg

J9351: Injection, topotecan, 0.1 mg

J9352: Injection, trabectedin, 0.1 mg

J9354: Injection, ado-trastuzumab emtansine, 1 mg

J9355: Injection, trastuzumab, excludes biosimilar, 10 mg

J9356: Injection, trastuzumab, 10 mg and Hyaluronidase-oysk

J9357: Injection, valrubicin, intravesical, 200 mg

J9358: Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

J9360: Injection, vinblastine sulfate, 1 mg

J9370: Vincristine sulfate, 1 mg

J9371: Injection, vincristine sulfate liposome, 1 mg

J9390: Injection, vinorelbine tartrate, 10 mg

J9395: Injection, fulvestrant, 25 mg

J9400: Injection, ziv-aflibercept, 1 mg

J9600: Injection, porfimer sodium, 75 mg

J9999: Not otherwise classified, antineoplastic drugs

Chemotherapy Infusion and Hydration Therapy Infusion on Same Day

Separate payment is not allowed for the infusion of saline, an anti-emetic, or any other nonchemotherapy drug under CPT codes 90780 and 90781 when administered at the same time as chemotherapy infusion (CPT codes 96410, 96412, or 96414). Separate payment is allowed for these two services on the same day when they are provided sequentially, rather than at the same time. Physicians use the modifier “-59” to indicate when CPT codes 90780 and 90781 are provided sequentially with CPT codes 96410, 96412, and 96414.

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Source: HCPCS Codes

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