HCPCS code J9294 — Inj pemetrexed, hospira 10mg. Status: Active. Effective Jul 1, 2024. Source: CMS HCPCS Level II.

J9294

Active

Inj pemetrexed, hospira 10mg

Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2024
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9123

MUE — Medically Unlikely Edits

Maximum units of J9294 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 150
Practitioner Services 150

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
00409-0004-04 Pemetrexed
00409-0020-02 Pemetrexed
00409-0021-03 Pemetrexed
00409-1045-01 Pemetrexed
00409-2188-01 Pemetrexed
00409-3532-01 Pemetrexed

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-Q3
    Inj pemetrexed, hospira 10mg