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J9393 Injection, fulvestrant (teva)

J Codes (Drugs)

Also known as: fulvestrant, Faslodex

Injection of fulvestrant from Teva manufacturer. Estrogen receptor antagonist for hormone receptor-positive breast cancer.

In Plain Language

hormone-sensitive breast cancer injection; estrogen blocker

Clinical Context

Used for estrogen receptor-positive metastatic breast cancer as monotherapy or with CDK4/6 inhibitors.

RVU Information

CPT J9393 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

OncologySurgeryInternal Medicine

Frequently Asked Questions

What is CPT code J9393?

CPT J9393 (Injection, fulvestrant (teva)) is a J Codes (Drugs) code. Injection of fulvestrant from Teva manufacturer. Estrogen receptor antagonist for hormone receptor-positive breast cancer.

How is J9393 administered?

CPT J9393 is administered by a healthcare provider, typically via injection or infusion. Used for estrogen receptor-positive metastatic breast cancer as monotherapy or with CDK4/6 inhibitors. It is used by Oncology, Surgery, Internal Medicine.

When is CPT J9393 used?

Used for estrogen receptor-positive metastatic breast cancer as monotherapy or with CDK4/6 inhibitors.

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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.