HCPCS code J9201 — In gemcitabine hcl nos 200mg. Status: Active. Effective Jan 1, 2020. Source: CMS HCPCS Level II.

J9201

Active

In gemcitabine hcl nos 200mg

Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2020
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J9201 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
DME Supplier 0
Outpatient Hospital 20
Practitioner Services 20

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
00409-0181-01 Gemcitabine
00409-0181-25 Gemcitabine
00409-0182-01 Gemcitabine
00409-0182-25 Gemcitabine
00409-0183-01 Gemcitabine
00409-0183-25 Gemcitabine
00409-0185-01 Gemcitabine
00409-0186-01 Gemcitabine
00409-0187-01 Gemcitabine
16714-0909-01 Gemcitabine
16714-0930-01 Gemcitabine
25021-0234-10 Gemcitabine
25021-0235-50 Gemcitabine
25021-0235-51 Gemcitabine
25021-0239-05 Gemcitabine
25021-0239-26 Gemcitabine
25021-0239-52 Gemcitabine
63323-0102-13 Gemcitabine
63323-0102-94 Gemcitabine
63323-0125-53 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 2020-Q1
    In gemcitabine hcl nos 200mg