HCPCS code J9393 — Inj, fulvestrant (teva). Status: Active. Effective Jul 1, 2024. Source: CMS HCPCS Level II.

J9393

Active

Inj, fulvestrant (teva)

Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 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: 9102

MUE — Medically Unlikely Edits

Maximum units of J9393 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 20
Outpatient Hospital 20
Practitioner Services 20

Source: CMS Medicare NCCI Medically Unlikely Edits

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, fulvestrant (teva)