HCPCS Level II drug code
J9198 — Injection, gemcitabine hydrochloride, (infugem), 100 mg
In short
J9198 is the HCPCS Level II code for injection, gemcitabine hydrochloride, (infugem), 100 mg. One billing unit is 100 mg.
Code
CMS HCPCS fileHCPCS codeJ9198
Billing unit100 mg
- Descriptor
- Injection, gemcitabine hydrochloride, (infugem), 100 mg
- Short descriptor
- Inj. infugem, 100 mg
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 2021
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Units and claim line
Units = dose given ÷ 100 mg. For example, 10000 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 J9198 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.
J9198: common questions
- Is J9198 a CPT code?
- No. J9198 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 J9198?
- One unit of J9198 is 100 mg, as stated in the code's descriptor. Units to report = dose given ÷ 100 mg. J-code billing units.