HCPCS Level II drug code
J8565 — Gefitinib, oral, 250 mg
In short
J8565 is the HCPCS Level II code for gefitinib, oral, 250 mg. One billing unit is 250 mg.
Code
CMS HCPCS fileHCPCS codeJ8565
Billing unit250 mg
- Descriptor
- Gefitinib, oral, 250 mg
- Short descriptor
- Gefitinib oral
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 2015
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Units and claim line
Units = dose given ÷ 250 mg. For example, 25000 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Find the NDC
Med-Code hasn’t mapped J8565 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.
J8565: common questions
- Is J8565 a CPT code?
- No. J8565 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
- What is one billing unit of J8565?
- One unit of J8565 is 250 mg, as stated in the code's descriptor. Units to report = dose given ÷ 250 mg. J-code billing units.