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J9304 Injection. pemetrexed, 10 milligrams

J Codes (Drugs)

Also known as: pemetrexed, Alimta

Injection of pemetrexed, 10 milligram. Multi-targeted antifolate antimetabolite for nonsquamous non-small cell lung cancer.

In Plain Language

lung cancer injection; mesothelioma treatment

Clinical Context

First-line or maintenance therapy for nonsquamous non-small cell lung cancer, mesothelioma, and ovarian cancer.

RVU Information

CPT J9304 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.

Specialties

OncologyPulmonologySurgery

Frequently Asked Questions

What is CPT code J9304?

CPT J9304 (Injection. pemetrexed, 10 milligrams) is a J Codes (Drugs) code. Injection of pemetrexed, 10 milligram. Multi-targeted antifolate antimetabolite for nonsquamous non-small cell lung cancer.

How is J9304 administered?

CPT J9304 is administered by a healthcare provider, typically via injection or infusion. First-line or maintenance therapy for nonsquamous non-small cell lung cancer, mesothelioma, and ovarian cancer. It is used by Oncology, Pulmonology, Surgery.

When is CPT J9304 used?

First-line or maintenance therapy for nonsquamous non-small cell lung cancer, mesothelioma, and ovarian cancer.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.