HCPCS code J9196 — Inj gemcitabine hcl (accord). Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

J9196

Active

Inj gemcitabine hcl (accord)

Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2024
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J9196 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 19
Practitioner Services 19

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
16729-0391-30 Gemcitabine
16729-0419-03 Gemcitabine
16729-0423-33 Gemcitabine
16729-0426-05 Gemcitabine
68001-0342-34 Gemcitabine
68001-0348-36 Gemcitabine
68001-0359-37 Gemcitabine

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2024-Q1
    Inj gemcitabine hcl (accord)