Product Billing and Coding Information

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Alimta Billing and Coding Information

Use this information when preparing documentation for ALIMTA use.

HCPCS Codes

Code

Description

Setting

J9305

Injection, pemetrexed, 10 mg

Physician office and hospital outpatient

NDC*

Code

Description

00002-7623-01

ALIMTA (pemetrexed for injection) 500 mg vial

00002-7640-01

ALIMTA (pemetrexed for injection) 100 mg vial

Diagnosis Codes

Nonsquamous non-small cell lung cancer

ICD-10-CM

Description

C34.00

Malignant neoplasm of unspecified main bronchus

C34.01

Malignant neoplasm of right main bronchus

C34.02

Malignant neoplasm of left main bronchus

C34.10

Malignant neoplasm of upper lobe, unspecified bronchus, or lung

C34.11

Malignant neoplasm of upper lobe, right bronchus, or lung

C34.12

Malignant neoplasm of upper lobe, left bronchus, or lung

C34.2

Malignant neoplasm of middle lobe, bronchus, or lung

C34.30

Malignant neoplasm of lower lobe, unspecified bronchus, or lung

C34.31

Malignant neoplasm of lower lobe, right bronchus, or lung

C34.32

Malignant neoplasm of lower lobe, left bronchus, or lung

C34.80

Malignant neoplasm of overlapping sites of unspecified bronchus and lung

C34.81

Malignant neoplasm of overlapping sites of right bronchus and lung

C34.82

Malignant neoplasm of overlapping sites of left bronchus and lung

C34.90

Malignant neoplasm of unspecified part of unspecified bronchus or lung

C34.91

Malignant neoplasm of unspecified part of right bronchus or lung

C34.92

Malignant neoplasm of unspecified part of left bronchus or lung

Malignant pleural mesothelioma

ICD-10-CM

Description

C38.4

Malignant neoplasm of pleura

C45.0

Mesothelioma of pleura

Drug Administration CPT® Codes

Code

Description

96409

Chemotherapy administration, intravenous, push technique, single or initial substance/drug

96411

Chemotherapy administration, intravenous, push technique, each additional substance/drug

96413

Chemotherapy administration, intravenous infusion technique; up to 1 hour single or initial substance/drug

96415

Chemotherapy administration, intravenous infusion technique; each additional hour

96417

Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour

*FDA standard NDC has been "zero-filled" to ensure creation of an 11-digit code that meets HIPAA standards. The zero-fill location is indicated in bold.


Ordering Information

Use these product codes to order ALIMTA in the appropriate vials.

Product Codes

Lilly Product Code

LY231514

ALIMTA UPN, GTIN CS Unit

100 mg: 00300027640013
500 mg: 00300027623016

ALIMTA UPC

100 mg: 0002-7640-01
500 mg: 0002-7623-01

NDC

100 mg: 0002-7640-01
500 mg: 0002-7623-01

This information is presented for informational purposes only and is not intended to provide reimbursement or legal advice. Laws, regulations, and policies concerning reimbursement are complex and are updated frequently. Individual coding decisions should be based upon diagnosis and treatment of individual patients. Eli Lilly and Company does not guarantee success in obtaining insurance payments. While we have made an effort to be current as of the issue date of this website, the information may not be as current or comprehensive when you view it. Providers should contact third-party payers for specific information on their coverage, coding, and payment policies. Please consult with your legal counsel or reimbursement specialist for any reimbursement or billing questions. For more information, please call the Lilly PatientOne program at 1-866-472-8663.