HCPCS code J9305 — Inj. pemetrexed nos 10mg. Status: Active. Effective Oct 1, 2020. Source: CMS HCPCS Level II.

J9305

Active

Inj. pemetrexed nos 10mg

Injection, pemetrexed, not otherwise specified, 10 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Oct 1, 2020
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9213

MUE — Medically Unlikely Edits

Maximum units of J9305 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 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
00002-7623-01 Alimta
00002-7640-01 Alimta
25021-0260-10 Pemetrexed
25021-0261-50 Pemetrexed
43598-0370-74 Pemetrexed
43598-0386-62 Pemetrexed
43598-0387-11 Pemetrexed
50742-0340-01 Pemetrexed
50742-0341-01 Pemetrexed
55150-0381-01 Pemetrexed
55150-0382-01 Pemetrexed
55150-0383-01 Pemetrexed
60505-6065-00 Pemetrexed
60505-6066-00 Pemetrexed
60505-6067-00 Pemetrexed
60505-6068-00 Pemetrexed
63323-0134-10 Pemetrexed
63323-0450-50 Pemetrexed
63323-0621-00 Pemetrexed
63323-0622-00 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 2020-Q4
    Inj. pemetrexed nos 10mg