http://www.jomcc.com/docs/Genitourinary-Drug-Codes

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ONCOLOGY DRUG CODES

Oncology Drug Codes Medications Used for the Treatment of Genitourinary Cancers The following sections include: • Associated ICD-9-CM codes used for the classification of genitourinary cancers • Drugs that have been FDA-approved in the treatment of genitourinary cancers. Please note: if a check mark appears in the FDA column it will NOT appear in the compendia section even if a drug is included in the NCCN (National Comprehensive Cancer Network) Drugs & Biologics Compendium • Drugs included in the NCCN Drugs & Biologics Compendium for off-label use in genitourinary cancers. NCCN is recognized by the Centers for Medicare & Medicaid Services (CMS) as a referencing source • Corresponding HCPCS/CPT codes and code descriptions • Current Code Price (AWP-based pricing) • Most recent ASP plus 6% (Medicare allowable) • Possible CPT Administration Codes for each medication.

Generic (brand) name

HCPCS code: code description

altretamine (Hexalen)

J8999*: prescription drug, oral, chemotherapeutic, not otherwise specified

anastrozole (Arimidex)

J8999*: prescription drug, chemotherapeutic, oral, not otherwise specified

anastrozole (Arimidex)

Ovarian Cancer The following section will assist healthcare professionals and payers by providing appropriate coding, billing, and reimbursement information associated with the management of ovarian cancer.

Associated ICD-9-CM Codes Used for Ovarian Cancer 183 Malignant neoplasm of ovary and other uterine adnexa 183.0 Ovary 183.2 Fallopian tube Oviduct Uterine tube 183.3 Broad ligament Mesovarium Parovarian region 183.4 Parametrium Uterine ligament NOS Uterosacral ligament 183.5 Round ligament 183.8 Other specified sites of uterine adnexa Tubo-ovarian Utero-ovarian Malignant neoplasm of contiguous or overlapping sites of ovary and other uterine adnexa whose point of origin cannot be determined 183.9 Uterine adnexa, unspecified

FDAapproved for ovarian cancer

NCCN Drugs & Biologics Compendium off-label use for ovarian cancer

Current code price (AWPbased pricing)

Medicare allowable (ASP + 6%), effective 7/1/09-9/30/09

CPT administration codes

NDC level pricing

NDC level pricing

N/A

NDC level pricing

NDC level pricing

N/A

S0170: anastrozole, oral, 1 mg

$12.81

S0170: not payable by Medicare

N/A

bevacizumab (Avastin)

J9035: injection, bevacizumab, 10 mg

$68.75

$57.43

96413, 96415

bleomycin (Blenoxane)

J9040: injection, bleomycin sulfate, 15 units

$46.33

$30.89

96401, 96409

capecitabine (Xeloda)

J8520: capecitabine, oral, 150 mg

$7.35

$5.72

N/A

capecitabine (Xeloda)

J8521: capecitabine, oral, 500 mg

$24.50

$19.02

N/A

July/August 2009

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ONCOLOGY DRUG CODES 24

FDAapproved for ovarian cancer

NCCN Drugs & Biologics Compendium off-label use for ovarian cancer

Current code price (AWPbased pricing)

Medicare allowable (ASP + 6%), effective 7/1/09-9/30/09

CPT administration codes

Generic (brand) name

HCPCS code: code description

carboplatin (Paraplatin)

J9045: injection, carboplatin, 50 mg

$85.10

$5.22

96409, 96413, 96415

cisplatin (Platinol AQ)

J9060: cisplatin, powder or solution, per 10 mg

$4.51

$2.32

96409, 96413, 96415

cisplatin (Platinol AQ)

J9062: cisplatin, 50 mg

$22.56

$11.60

96409, 96413, 96415

cyclophosphamide oral (Cytoxan)

J8530: cyclophosphamide, oral, 25 mg

$2.09

$0.90

cyclophosphamide injection (Cytoxan)

J9090: cyclophosphamide, 500 mg

$31.60

$20.09

96409, 96413, 96415

cyclophosphamide injection (Cytoxan)

J9091: cyclophosphamide, 1.0 gm

$56.90

$40.18

96409, 96413, 96415

cyclophosphamide injection (Cytoxan)

J9092: cyclophosphamide, 2.0 gm

$52.50

$80.35

96409, 96413, 96415

dactinomycin (Cosmegen)

J9120: injection, dactinomycin, 0.5 mg

$654.08

$543.73

96409

docetaxel (Taxotere)

J9170: injection, docetaxel, 20 mg

$467.37

$344.65

96413

doxorubicin HCl (Adriamycin)

J9000: injection, doxorubicin hydrochloride, 10 mg

$13.75

$3.58

96409

doxorubicin HCl liposome (Doxil)

J9001: injection, doxorubicin hydrochloride all lipid formulations, 10 mg

$565.63

$456.99

96413

etoposide (Etopophos, Toposar)

J9181: injection, etoposide, 10 mg

$0.55

$0.45

96413, 96415

etoposide (VePesid)

J8560: etoposide, oral, 50 mg

$47.64

$30.35

N/A

gemcitabine (Gemzar)

J9201: injection, gemcitabine hydrochloride, 200 mg

$172.41

$141.29

hydroxyurea (Hydrea)

J8999*: prescription drug, oral, chemotherapeutic, not otherwise specified

NDC level pricing

NDC level pricing

N/A

hydroxyurea (Hydrea)

S0176: hydroxyurea, oral, 500 mg

$1.28

S0176: not payable by Medicare

N/A

ifosfamide (Ifex)

J9208: injection, ifosfamide, 1 g

$58.75

$30.03

96413, 96415

irinotecan (Camptosar)

J9206: injection, irinotecan, 20 mg

$32.82

$14.96

96413, 96415

letrozole (Femara)

J8999*: prescription drug, oral, chemotherapeutic, not otherwise specified

NDC level pricing

leuprolide (Lupron Depot)

J9217: leuprolide acetate (for depot suspension), 7.5 mg

$367.25

megestrol (Megace)

J8999*: prescription drug, oral, chemotherapeutic, not otherwise specified

NDC level pricing

NDC level pricing

N/A

megestrol (Megace)

S0179: megestrol acetate, oral 20 mg

$0.66

S0179: not payable by Medicare

N/A

melphalan oral (Alkeran oral)

J8600: melphalan, oral, 2 mg

$5.63

$4.68

N/A

G REEN H ILL H EALTHCARE C OMMUNICATIONS

NDC level pricing $198.87

N/A

96413

N/A

96402

July/August 2009


FDAapproved for ovarian cancer

Current code price (AWPbased pricing)

Medicare allowable (ASP + 6%), effective 7/1/09-9/30/09

CPT administration codes

Generic (brand) name

HCPCS code: code description

melphalan injection (Alkeran injection)

J9245: injection, melphalan hydrochloride, 50 mg

$2003.78

$1624.60

96409, 96413

oxaliplatin (Eloxatin)

J9263: injection, oxaliplatin, 0.5 mg

$12.26

$9.61

96413, 96415

paclitaxel (Taxol)

J9265: injection, paclitaxel, 30 mg

$21.25

$7.72

96413, 96415

pemetrexed (Alimta)

J9305: injection, pemetrexed, 10 mg

$60.21

$49.46

tamoxifen (Nolvadex)

J8999*: prescription drug, oral, chemotherapeutic, not otherwise specified

NDC level pricing

NDC level pricing

N/A

tamoxifen (Nolvadex)

S0187: tamoxifen citrate, oral, 10 mg

$1.89

S0187: not payable by Medicare

N/A

thiotepa (Thiotepa)

J9340: injection, thiotepa, 15 mg

$143.75

$97.35

topotecan injection (Hycamtin)

J9350: injection, topotecan, 4 mg

$1257.89

$981.08

96413

vinBLAStine

J9360: injection, vinblastine sulfate, 1 mg

$3.31

$1.01

96409

vinCRIStine (Vincasar PFS)

J9370: vincristine sulfate, 1 mg

$9.90

$5.70

96409

vinCRIStine (Vincasar PFS)

J9375: vincristine sulfate, 2 mg

$19.80

$11.40

96409

vinCRIStine (Vincasar PFS)

J9380: vincristine sulfate, 5 mg

$49.50

$28.49

96409

vinorelbine (Navelbine)

J9390: injection, vinorelbine tartrate, per 10 mg

$44.38

$13.14

96409

Prostate Cancer

96409

51720, 96409

Associated ICD-9-CM Code Used for Prostate Cancer

The following section will assist healthcare professionals and payers by providing appropriate coding, billing, and reimbursement information associated with the management of prostate cancer.

FDAapproved for prostrate cancer

185 Malignant neoplasm of prostate Excludes: seminal vesicles (187.8)

NCCN Drugs & Biologics Compendium off-label use for prostate cancer

Current code price (AWPbased pricing)

Medicare allowable (ASP + 6%), effective 7/1/09-9/30/09

CPT administration codes

Generic (brand) name

HCPCS code: code description

bicalutamide (Casodex)

J8999*: prescription drug, oral, chemotherapeutic, not otherwise specified

carboplatin (Paraplatin)

J9045: injection, carboplatin, 50 mg

$85.10

$5.22

96409, 96413, 96415

cisplatin (Platinol AQ)

J9060: cisplatin, powder or solution, per 10 mg

$4.51

$2.32

96409, 96413, 96415

cisplatin (Platinol AQ)

J9062: cisplatin, 50 mg

$22.56

$11.60

96409, 96413, 96415

Degarelix

J9999*: not otherwise classified, antineoplastic drugs OR C9399: unclassified drugs or biological

July/August 2009

ONCOLOGY DRUG CODES

NCCN Drugs & Biologics Compendium off-label use for ovarian cancer

NDC level pricing

NDC level pricing

NDC level pricing

NDC level pricing

N/A

96402

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ONCOLOGY DRUG CODES

FDAapproved for prostrate cancer

NCCN Drugs & Biologics Compendium off-label use for prostate cancer

Current code price (AWPbased pricing)

Medicare allowable (ASP + 6%), effective 7/1/09-9/30/09

CPT administration codes

Generic (brand) name

HCPCS code: code description

docetaxel (Taxotere)

J9170: injection, docetaxel, 20 mg

estradiol (Estrace)

J8499*: prescription drug, oral, nonchemotherapeutic, not otherwise specified

NDC level pricing

NDC level pricing

N/A

estramustine (Emcyt)

J8999*: prescription drug, oral, chemotherapeutic, not otherwise specified

NDC level pricing

NDC level pricing

N/A

etoposide (Etopophos)

J9181: injection, etoposide, 10 mg

$0.55

$0.45

96413, 96415

etoposide (VePesid)

J8560: etoposide, oral, 50 mg

$47.64

$30.35

N/A

flutamide (Eulexin)

J8999*: prescription drug, oral, chemotherapeutic, not otherwise specified

NDC level pricing

goserelin (Zoladex)

J9202: goserelin acetate implant, per 3.6 mg

$469.99

$196.05

histrelin (Vantas)

J9225: histrelin implant (Vantas), 50 mg

$6250.00

$1579.32

ketoconazole (Nizoral)

J8499*: prescription drug, oral, nonchemotherapeutic, not otherwise specified

leuprolide (Lupron Depot, Eligard)

J9217: leuprolide acetate (for depot suspension), 7.5 mg

$367.25

$198.87

mitoxantrone (Novantrone)

J9293: injection, mitoxantrone hydrochloride, per 5 mg

$126.94

$68.36

nilutamide (Nilandron)

J8999*: prescription drug, oral, chemotherapeutic, not otherwise specified

NDC level pricing

prednisone

J7506: prednisone, oral, per 5 mg

triptorelin (Trelstar LA, Trelstar Depot)

J3315: injection, triptorelin pamoate, 3.75 mg

zoledronic acid (Zometa)

J3487: injection (Zometa), zoledronic acid, 1 mg

$467.37

NDC level pricing

$344.65

NDC level pricing

96413

N/A

NDC level pricing

96372, 96402 11981, 11982, 11983 N/A

NDC level pricing

96402

96409, 96413 N/A

$0.05

$0.04

N/A

$756.25

$161.82

96372, 96402

$268.96

$217.37

96365, 96374

*When billing a nonclassified medication using a CMS 1500 claim form you must include both the HCPCS code (ie, J8999 for Tamoxifen) in column 24D and the drug name, strength, and National Drug Code (NDC) in box 19 to ensure appropriate reimbursement. References • HCPCS Level II Expert, 2009 • CPT 2009; 2008 • ICD-9-CM for Professionals Volumes 1 & 2; 2009 • The Drug Reimbursement Coding and Pricing Guide, Vol 6, No 3; RJ Health Systems International LLC; 3rd Quarter 2009 • FDA-approved indication (from products' prescribing information) • NCCN • National Cancer Institute • www.ReimbursementCodes.com powered by RJ Health Systems International, LLC., Wethersfield, Connecticut • CMS-Medicare allowable 3rd Quarter 2009 (effective dates 7/1/09-9/30/09). Prices listed herein are effective as of July 1, 2009. ASP indicates average sales price; AWP, average wholesale price; CMS, Centers for Medicare & Medicaid Services; CPT, Current Procedural Terminology; FDA, US Food and Drug Administration; HCPCS, Healthcare Common Procedure Coding System; NCCN, National Comprehensive Cancer Network.

This information was supplied by:

PO BOX 290616, Wethersfield, CT 06109 T: (860) 563-1223 • F: (860) 563-1650 • www.RJHealthSystems.com 26

G REEN H ILL H EALTHCARE C OMMUNICATIONS

MORE ONCOLOGY DRUG CODES ONLINE Bladder Cancer Kidney Cancer Testicular Cancer Uterine Cancer

www.jomcc.com July/August 2009


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