by Jared Staheli
July 8th, 2015
The following codes may be used for drugs other than Prodrugs, when covered:
|Generic/Chemical Name||How Supplied||HCPCS|
|Cyclophosphamide *||25 mg/ORAL||J8530|
(Treat 50 mg. as 2 units
|Prescription Drug chemotherapeutic NOC||ORAL||J8999|
Each tablet or capsule is equal to one unit, except for 50 mg./ORAL of cyclophosphamide (J8530), which is shown as 2 units. The 25m and 50 mg share the same code.
NOTE: HIPAA requires that drug claims submitted to DMERCs be identified by NDC.