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    HCPCS Details

    HCPC J9196
    Short Description Inj gemcitabine hcl (accord)
    Long Description Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code YY
    BETOS2 code O1D
    Action code P
    Type of service 1
    Effective date 2024-01-01
    Date Added 2023-04-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    16729039130 J9196 Inj gemcitabine hcl (accord) GEMCITABINE ACCORD HEALTHCARE INC. 200 MG 2 1 1 1
    16729041903 J9196 Inj gemcitabine hcl (accord) GEMCITABINE ACCORD HEALTHCARE INC. 200 MG 10 1 5 5
    16729042333 J9196 Inj gemcitabine hcl (accord) GEMCITABINE ACCORD HEALTHCARE INC. 200 MG 15 1 7.5 7.5
    16729042605 J9196 Inj gemcitabine hcl (accord) GEMCITABINE ACCORD HEALTHCARE INC. 200 MG 20 1 10 10
    68001034234 J9196 Inj gemcitabine hcl (accord) GEMCITABINE BLUEPOINT LABORATORIES 200 MG 2 1 1 1
    68001034836 J9196 Inj gemcitabine hcl (accord) GEMCITABINE BLUEPOINT LABORATORIES 200 MG 10 1 5 5
    68001035937 J9196 Inj gemcitabine hcl (accord) GEMCITABINE BLUEPOINT LABORATORIES 200 MG 20 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 200 MG
    HCPCS/CPT Billing Units 0.005
    Total doses ordered
    Billing Units 0.005