Billing and Coding Information

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Portrazza Billing and Coding Information

Use this information when preparing documentation for Portrazza use.

HCPCS Codes

Code

Description

Setting

C9475

Injection, necitumumab (billing unit = 1 mg)

Hospital outpatient

J9295

Injection, necitumumab (billing unit = 1 mg)

Physician office

NDC*

Code

Dosage form and strength

00002-7716-01

Portrazza (necitumumab for injection) 800 mg/50 mL vial

Diagnosis Codes

Non-small cell lung cancer

ICD-10-CM Code

Description

Malignant neoplasm of trachea, bronchus, and lung

C33

Trachea

C34.00
C34.01
C34.02

Unspecified main bronchus
Right main bronchus
Left main bronchus

C34.10
C34.11
C34.12

Upper lobe, unspecified bronchus, or lung
Upper lobe, right bronchus, or lung
Upper lobe, left bronchus, or lung

C34.2

Middle lobe, bronchus, or lung

C34.30
C34.31
C34.32

Lower lobe, unspecified bronchus, or lung
Lower lobe, right bronchus, or lung
Lower lobe, left bronchus, or lung

C34.80
C34.81
C34.82

Overlapping sites of unspecified bronchus and lung
Overlapping sites of right bronchus and lung

C34.90
C34.91
C34.92

Unspecified part of unspecified bronchus or lung
Unspecified part of right bronchus or lung
Unspecified part of left bronchus or lung

Drug Administration CPT® Codes

Code

Description

96413

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

96415

Chemo administration, intravenous infusion; each additional 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

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

If purchasing Portrazza directly, you may use one of the five specialty distributors 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 1-800-LillyRx (1-800-545-5979).

Specialty Distributor Network

AmerisourceBergen Specialty Group

Order Entry Code: 500 mg/50 mL - 45884

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 Code: 500 mg/50 mL - 5203856

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 Code: 500 mg/50 mL - 268321

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

McKesson Specialty Care Distribution Corporation

Order Entry Code: 500 mg/50 mL - 5005803

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 Code: 500 mg/50 mL - 5525472

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.