Product Specific J Code For Toriselо (temsirolimus) Injection J ...
Product-Specifi c J Code for TORISEL® (temsirolimus) injection
J-9330 — Injection, temsirolimus
1 mg = 1 Billable Unit
Temsirolimus injection (TORISEL) has a product-specifi c J code: J-9330. Please note that J-9330 represents 1 mg. This code
should be used in the appropriate fi eld of the CMS 1500 form when administering temsirolimus in an offi ce-based
setting, along with other pertinent information, as follows1:
• Field 199 – Des
D crip
es
tion:
cription: Identify
Identify product
produ as
ct
as
either temsir
si olimus
rolimus injection
injectio or
n
T
or ORISEL
TORISEL; ;
dose method of
of administr
adminis a
tr tion
ation as
as IV
I IV
infusion; and 11-digitt NDC
NDC code
code as 00008-
00008-
1179-01, TORISEL Kit injection,
ction 25
, mg
25 m /m
g/
g
L
mL.2.
2
• Field 21 – Diagnosis Code: Use the
the
ICD-9-CM codes 189.0-189.1.3
• Field 24D – CPT/HCPCS: Enter J-9330 as the HCPCS code (J code).1
• Field 24E – Diagnosis Code: Use the ICD-9-CM codes 189.0-189.1.3
• Field 24G – Units Administered: Enter total billable units administered. Note: 1 mg = 1 billable unit.
QUESTIONS?
If you have any questions, please contact:
TORISEL® Reimbursement Support Program
PO Box 220907
Charlotte, NC 28222-0907
Phone: 1-866-WYETH-ONC (1-866-993-8466)
Fax: 1-866-993-8411
Monday - Friday, 9:00 a.m. - 6:00 p.m. ET
CMS = Centers for Medicare & Medicaid Services; IV = intravenous; NDC = National Drug Code; HCPCS = Healthcare
Common Procedure Coding System; CPT = Current Procedural Terminology*; ICD-9-CM = International Classifi cation
of Diseases, 9th Revision, Clinical Modifi cation, 6th ed.
*CPT® is a registered trademark of the American Medical Association.
References: 1. Centers for Medicare & Medicaid Services. 2009 Table of Drugs. http://www.cms.hhs.gov/HCPCSReleaseCodeSets/ANHCPCS/itemdetail.
asp?fi lterType=none&fi lterByDID=-99&sortByDID=1&sortOrder=descending&itemID=CMS1216705&intNumPerPage=10. Accessed November 3, 2008.
2. TORISEL® Kit (temsirolimus) Prescribing Information, Wyeth Pharmaceuticals Inc. 3. US Centers for Disease Control and Prevention – National Center for Health
Statistics. 2007 ICD-9-CM rich text fi les. ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Publications/ICD9-CM/2007/. Accessed July 16, 2008.
© 2008, Wyeth Pharmaceuticals Inc., Philadelphia, PA 19101 November 2008 238205-01
