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ONCOLOGY DRUG CODES Supplied by: RJ Health Systems
generic (Brand) name
HCPCS code: code description
doxorubicin (Adriamycin) floxuridine (FUDR) fluorouracil (Adrucil) irinotecan (Camptosar) leucovorin calcium (Wellcovorin)
J9000: injection, doxorubicin hydrochloride, 10 mg J9200: injection, floxuridine, 500 mg J9190: injection fluorouracil, 500 mg J9206: injection, irinotecan, 20 mg J0640: injection, leucovorin calcium, per 50 mg J0641: injection, levoleucovorin calcium, 0.5 mg
levoleucovorin calcium (Fusilev) lomustine (CeeNu) lomustine (CeeNu) methotrexate sodium methotrexate sodium mitomycin (Mutamycin) mitomycin (Mutamycin) mitomycin (Mutamycin) mitoxantrone (Novantrone) oxaliplatin (Eloxatin) panitumumab (Vectibix) pemetrexed (Alimta) teniposide (Vumon) topotecan (Hycamtin) topotecan (Hycamtin) vinCRIStine (Vincasar) vinCRIStine (Vincasar) vinCRIStine (Vincasar)
FDAapproved for colorectal cancer
Compendia listed off-label use for colorectal cancera
Current code price (AWP-based pricing), effective 7/1/10
Medicare allowable (ASP + 6%), effective 7/1/10-9/30/10
CPT ® administration codes
✓
$13.20
$2.94
✓
$121.06
$43.10
✓
$3.37
$1.48
96409
✓
$31.48
$6.79
96413, 96415
✓
$3.60
$0.95
96372, 96374, 96409
✓
$1.54
$0.65
96365, 96366
J8999b: prescription drug, oral, chemotherapeutic, not otherwise specified S0178: lomustine, oral, 10 mg
✓
✓
NDC level pricing $10.59
J9250: methotrexate sodium, 5 mg J9260: methotrexate sodium, 50 mg J9280: mitomycin, 5 mg
✓
$0.29
NDC level pricing S0178: not payable by Medicare $0.19
✓
$2.86
$1.92
✓
$67.20
$20.19
96372, 96374, 96401, 96409, 96450 96372, 96374, 96401, 96409, 96450 96409
J9290: mitomycin, 20 mg
✓
$218.40
$80.74
96409
J9291: mitomycin, 40 mg
✓
$300.00
$161.48
96409
J9293: injection, mitoxantrone hydrochloride, per 5 mg J9263: injection, oxaliplatin, 0.5 mg J9303: injection, panitumumab, 10 mg J9305: injection, pemetrexed, 10 mg Q2017: injection, teniposide, 50 mg J8705: topotecan, oral, 0.25 mg J9350: injection topotecan, 4 mg J9370: vincristine sulfate, 1 mg J9375: vincristine sulfate, 2 mg J9380: vincristine sulfate, 5 mg
✓
$106.50
$40.88
96409, 96413
✓
$8.25
$4.46
96413, 96415
✓
$101.85
$87.24
96413, 96415
✓
$60.67
$51.69
96409
✓
$376.55
$324.27
✓
$89.73
$74.59
✓
$1,306.10
$1,058.74
96413
✓
$7.22
$4.53
96409
✓
$14.44
$9.06
96409
✓
$36.10
$22.65
96409
96409 96422, 96423, 96425
N/A
N/A
96413, 96415 N/A
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www.TheOncologyPharmacist.com
AugusT 2010 I VOL 3, NO 5
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