Search by Drug Name, NDC or Jcode

    Internal Navigation

    HCPCS Details

    HCPC J9120
    Short Description Dactinomycin injection
    Long Description Injection, dactinomycin, 0.5 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code YY
    BETOS2 code O1D
    Action code N
    Type of service 1
    Effective date 2009-01-01
    Date Added 1984-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    39822210002 J9120 Dactinomycin injection Dactinomycin X-GEN PHARMACEUTICALS INC 0.5 MG 1 1 1 1
    55150043101 J9120 Dactinomycin injection DACTINOMYCIN AUROMEDICS PHARMA LLC 0.5 MG 1 1 1 1
    55150092802 J9120 Dactinomycin injection DACTINOMYCIN AUROMEDICS PHARMA LLC 0.5 MG 1 1 1 1
    55292081155 J9120 Dactinomycin injection Cosmegen RECORDATI RARE DISEASES 0.5 MG 1 1 1 1
    66993048983 J9120 Dactinomycin injection Dactinomycin PRASCO LABORATORIES 0.5 MG 1 1 1 1
    67457051305 J9120 Dactinomycin injection Dactinomycin MYLAN INSTITUTIONAL INC. 0.5 MG 1 1 1 1
    67457092802 J9120 Dactinomycin injection Dactinomycin MYLAN INSTITUTIONAL INC. 0.5 MG 1 1 1 1
    71288012902 J9120 Dactinomycin injection Dactinomycin MEITHEAL PHARMACEUTICALS 0.5 MG 1 1 1 1
    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].

    Drug Details

    • Dactinomycin is used in combination with other medications, surgery, and/or radiation therapy to treat Wilms' tumor (a type of kidney cancer that occurs in children) and rhabdomyosarcoma (cancer that forms in muscles) in children. Dactinomycin is also used in combination with other medications to treat certain types of testicular cancer and Ewing's sarcoma (a type of cancer in bones or muscles). Dactinomycin is also used alone or in combination with other medications to treat gestational trophoblastic tumors (a type of tumor that forms inside a woman's uterus while she is pregnant). Dactinomycin may also be used to treat certain types of cancerous tumors that are located in a specific area of the body. Dactinomycin is a type of antibiotic that is only used in cancer chemotherapy. It works by slowing or stopping the growth of cancer cells in your body.