HCPCS Level II drug code
J9296 — Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg
In short
J9296 is the HCPCS Level II code for injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg. One billing unit is 10 mg.
Code
CMS HCPCS fileHCPCS codeJ9296
Billing unit10 mg
- Descriptor
- Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg
- Short descriptor
- Inj pemetrexed (accord) 10mg
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jul 1, 2024
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Units and claim line
Units = dose given ÷ 10 mg. For example, 1000 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 J9296 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.
J9296: common questions
- Is J9296 a CPT code?
- No. J9296 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 J9296?
- One unit of J9296 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.