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    HCPCS Details

    HCPC J2469
    Short Description Palonosetron hcl
    Long Description Injection, palonosetron hcl, 25 mcg
    Pricing indicator 51
    Coverage code C
    ASC payment group code
    BETOS2 code O1E
    Action code P
    Type of service 1
    Effective date 2024-01-01
    Date Added 2005-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00143951301 J2469 Palonosetron hcl Palonosetron HIKMA PHARMACEUTICALS USA INC. 25 MCG 2 1 10 10
    00409250410 J2469 Palonosetron hcl Palonosetron PFIZER INC. 25 MCG 5 1 10 10
    00703409401 J2469 Palonosetron hcl Palonosetron SICOR PHARMACEUTICALS, INC. 25 MCG 5 1 10 10
    00781331275 J2469 Palonosetron hcl Palonosetron SANDOZ 25 MCG 5 1 10 10
    00781341575 J2469 Palonosetron hcl Palonosetron SANDOZ 25 MCG 5 1 10 10
    16714083401 J2469 Palonosetron hcl Palonosetron NORTHSTAR RX LLC 25 MCG 5 1 10 10
    16729036566 J2469 Palonosetron hcl Palonosetron ACCORD HEALTHCARE INC. 25 MCG 5 1 10 10
    25021078305 J2469 Palonosetron hcl Palonosetron SAGENT PHARMACEUTICALS INC 25 MCG 5 1 10 10
    25021078874 J2469 Palonosetron hcl Palonosetron SAGENT PHARMACEUTICALS INC 25 MCG 5 5 10 50
    36000032602 J2469 Palonosetron hcl Palonosetron BAXTER 25 MCG 5 1 10 10
    50742048505 J2469 Palonosetron hcl Palonosetron INGENUS PHARMACEUTICALS, LLC 25 MCG 5 1 10 10
    55111069407 J2469 Palonosetron hcl Palonosetron DR. REDDY'S LABORATORIES, INC. 25 MCG 5 1 10 10
    55150018605 J2469 Palonosetron hcl Palonosetron AUROMEDICS PHARMA LLC 25 MCG 5 1 10 10
    60505619301 J2469 Palonosetron hcl Palonosetron APOTEX CORP. 25 MCG 5 1 10 10
    63323067305 J2469 Palonosetron hcl Palonosetron FRESENIUS KABI 25 MCG 5 1 10 10
    63323067389 J2469 Palonosetron hcl Palonosetron FRESENIUS KABI 25 MCG 5 10 10 100
    67457031725 J2469 Palonosetron hcl Palonosetron MYLAN INSTITUTIONAL LLC 25 MCG 5 1 10 10
    68001035525 J2469 Palonosetron hcl Palonosetron AMERICAN HEALTH PACKAGING 25 MCG 5 1 10 10
    69097043935 J2469 Palonosetron hcl Palonosetron CIPLA USA INC. 25 MCG 5 1 10 10
    69097092735 J2469 Palonosetron hcl Palonosetron CIPLA USA INC. 25 MCG 5 1 10 10
    69543037110 J2469 Palonosetron hcl Palonosetron VIRTUS PHARMACEUTICAL 25 MCG 5 10 10 100
    69639010301 J2469 Palonosetron hcl Aloxi HELSINN THERAPUTICS (US) INC 25 MCG 5 1 10 10
    70860078505 J2469 Palonosetron hcl Palonosetron ATHENEX 25 MCG 5 1 10 10
    71288040905 J2469 Palonosetron hcl PALONOSETRON MEITHEAL PHARMACEUTICALS 25 MCG 5 1 10 10
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 25 MCG
    HCPCS/CPT Billing Units 0.04
    Total doses ordered
    Billing Units 0.04