HCPCS Level II drug code
J9394 — Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg
In short
J9394 is the HCPCS Level II code for injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg. One billing unit is 25 mg.
Code
CMS HCPCS fileHCPCS codeJ9394
Billing unit25 mg
- Descriptor
- Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg
- Short descriptor
- Inj, fulvestrant (fresenius)
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 2023
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Units and claim line
Units = dose given ÷ 25 mg. For example, 2500 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 J9394 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.
Search NDCs for fulvestrant not therapeutically equivalent to j9395
J9394: common questions
- Is J9394 a CPT code?
- No. J9394 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 J9394?
- One unit of J9394 is 25 mg, as stated in the code's descriptor. Units to report = dose given ÷ 25 mg. J-code billing units.