What is the CPT code for Faslodex?

The medication (HCPCS Level II code J9395 Injection, fulvestrant, 25 mg) is supplied as 50 mg/mL fulvestrant.

How is Faslodex administered?

Method of administration Faslodex should be administered as two consecutive 5 ml injections by slow intramuscular injection (1-2 minutes/injection), one in each buttock (gluteal area). Caution should be taken if injecting Faslodex at the dorsogluteal site due to the proximity of the underlying sciatic nerve.

What is Faslodex prescribed for?

Faslodex is a prescription medicine used to treat advanced breast cancer or breast cancer that has spread to other parts of the body (metastatic).

What class of drug is Faslodex?

Fulvestrant is in a class of medications called estrogen receptor antagonists. It works by blocking the action of estrogen on cancer cells. This can slow or stop the growth of some breast tumors that need estrogen to grow.

What is Faslodex Injection?

Faslodex (fulvestrant) Injection is an estrogen receptor antagonist used to treat some hormone-related breast cancer. Faslodex is also used in postmenopausal women whose breast cancer has progressed after treatment with other anti-estrogen medication.

What is FASLODEX injection?

Is Faslodex a biologic?

It is given by injection into a muscle. Fulvestrant is a selective estrogen receptor degrader (SERD) and was first-in-class to be approved. It works by binding to the estrogen receptor and destabilizing it, causing the cell’s normal protein degradation processes to destroy it….Fulvestrant.

What is the difference between Faslodex and fulvestrant?

Fulvestrant is a type of hormone therapy. Its generic (non-branded name) is fulvestrant. You may hear it called Faslodex, its brand name.

Does CPT code 99395 need a modifier?

Providers must bill for preventative EPSDT services using the preventative service, office or other outpatient services and preventative medicine CPT codes (99381 – 99385, 99391 – 99395) with an EP modifier.

How is Faslodex billed for two injections?

If this drug is given in two sites, should it be billed 96402, 96402.59? We are billing Faslodex with admin (96402) in two separate line items as 96402 -mod (59) and in second line item 96402- mod 59,76.We are getting paid from Medicare.

What is the HCPCS code for fulvestrant injection?

HCPCS Code: J9395 – Injection, fulvestrant, 25 mg; 1 billable unit = 25 mg

Do you need a 59 modifier for Faslodex?

Unless you were doing another type of chemotherapy infusion that day (which I do not see in my practice at all) we sometimes will bill the Faslodex on the same DOS as Xgeva but still the initial 96402 would not require a 59 modifier. You must log in or register to reply here.

Are there payment limits for HCPCS Drug Code j7308?

New payment limits have been set for HCPCS drug codes J7308 (Levulan Kerastick) and J9395 (Faslodex) when these codes are not paid on a cost or prospective payment basis. CAUTION – What You Need to Know