Billing and Coding Information

Jump to Product Ordering Information

CYRAMZA Billing and Coding Information

Use this information when preparing documentation for CYRAMZA use.

HCPCS Codes

HCPCS Code

Code

Description

J9308

Injection, ramucirumab (billing unit = 5 mg)

NDC*

Code

Description

00002-7669-01

CYRAMZA (ramucirumab for injection) 100 mg/10 mL (10 mg per mL) solution, single-dose vial

00002-7678-01

CYRAMZA (ramucirumab for injection) 500 mg/50 mL (10 mg per mL) solution, single-dose vial

Diagnosis Codes

Colorectal cancer

ICD-10-CM

Description

Malignant neoplasm of colon

C18.0

Cecum

C18.1

Appendix

C18.2

Ascending colon

C18.3

Hepatic flexure

C18.4

Transverse colon

C18.5

Splenic flexure
Other specified sites of large intestine

C18.6

Descending colon

C18.7

Sigmoid colon

C18.8

Overlapping sites of colon

C18.9

Colon, unspecified

Malignant neoplasm of rectum, rectosigmoid junction, and anus

C19

Rectosigmoid junction

C20

Rectum
Other sites of rectum, rectosigmoid junction, and anus

C21.8

Overlapping sites of rectum, anus, and anal canal

Gastric cancer

ICD-10-CM

Description

Malignant neoplasm of stomach

C16.0

Cardia

C16.1

Fundus of stomach

C16.2

Body of stomach

C16.3

Pyloric antrum

C16.4

Pylorus

C16.5

Lesser curvature of stomach, unspecified

C16.6

Greater curvature of stomach, unspecified

C16.8

Overlapping sites of stomach

C16.9

Stomach, unspecified

Non-small cell lung cancer

ICD-10-CM

Description

Malignant neoplasm of trachea, bronchus, and lung

C33

Malignant neoplasm of trachea

C34.00 - unspecified
C34.01 - right
C34.02 - left

Malignant neoplasm of main bronchus

C34.10 - unspecified
C34.11 - right
C34.12 - left

Malignant neoplasm of upper lobe, bronchus, or lung

C34.2

Malignant neoplasm of middle lobe, bronchus, or lung

C34.30 - unspecified
C34.31 - right
C34.32 - left

Malignant neoplasm of lower lobe, bronchus, or lung

C34.80 - unspecified
C34.81 - right
C34.82 - left

Malignant neoplasm of other parts of bronchus or lung (overlapping sites)

C34.90 - unspecified
C34.91 - right
C34.92 - left

Malignant neoplasm of bronchus or lung, unspecified

Drug Administration CPT® Code

Code

Description

96413

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

*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

Lilly has contracted with a network of specialty distributors and one specialty pharmacy to provide customers access to CYRAMZA.

If purchasing CYRAMZA directly, you may use the five specialty distributors and one specialty pharmacy listed here. You also have the option of ordering from our authorized specialty pharmacy partner shown below. For more information on purchasing, dispensing, or returning Lilly products, visit LillyTrade.com. For inquiries about this matter, contact Lilly at 1-800LillyRx (1-800-545-5979).

Specialty Distributor Network

AmerisourceBergen Specialty Group

Order Entry Codes: 100 mg/10 mL - 42792, 500 mg/50 mL - 42793

Oncology Supply

ASD Healthcare

P: (800) 633-7555, F: (800) 248-8205
oncologysupply.com

P: (800) 746-6273, F: (800) 547-9413
asdhealthcare.com

Cardinal Health Specialty Pharmaceutical Distribution

Order Entry Codes: 100 mg/10 mL - 4982419, 500 mg/50 mL - 4982435

Oncology Clinics

Hospitals

P: (855) 740-1871, F: (888) 345-4916
cardinalhealth.com/specialtyonline

P: (866) 476-1340, F: (888) 345-4916
cardinalhealth.com/specialtyonline

CuraScript Specialty Distribution

Order Entry Codes: 100 mg/10 mL - 265012, 500 mg/50 mL - 265020

P: (877) 599-7748, F: (800) 862-6208, curascriptsd.com

McKesson Specialty Care Distribution Corporation

Order Entry Codes: 100 mg/10 mL - 983-231, 500 mg/50 mL - 983-232

McKesson Specialty Health

McKesson Plasma and Biologics

P: (800) 482-6700, F: (800) 289-9285
mscs.mckesson.com

P: (877) 625-2566, F: (888) 752-7626
connect.mckesson.com

Smith Medical Partners

Order Entry Codes: 100 mg/10 mL - 375-8307, 500 mg/50 mL - 375-8315

P: (800) 292-9653, F: (630) 227-9220, smpspecialty.com

Authorized Specialty Pharmacy

Biologics Inc.

P: (800) 850-4306, F: (800) 823-4506, biologicsinc.com

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.