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J9306
Pemetrexed
Brand: AlimtaGeneric: Pemetrexed Eli Lilly
NDC (11-digit)
00074-3711-13
NDC (10-digit)
0074-3711-13
UOM
UN
JW/JZ Modifier
Required
Important: NDC billing requirements vary by payer and are updated periodically. Always verify with current CMS guidelines, payer-specific NDC policies, and the FDA NDC Directory. This information is for educational purposes only and does not guarantee payment or coding accuracy.
NDC Structure
Labeler Code
00074
Manufacturer/Labeler
Product Code
3711
Drug Product
Package Code
13
Package Size
Package SizeSingle-use vial
Dosage FormInjection, powder for solution
Strength500 mg
RouteIntravenous (IV)
10-digit NDC0074-3711-13
11-digit NDC00074-3711-13
Unit of MeasureUN
Units per HCPCS10 mg per unit
Code Relationships
HCPCS / J Codes
J9306
J Codes
J9306
Common CPT Relationships
9641396415
Typical Specialties
Oncology
Documentation Requirements
- Diagnosis supporting medical necessity (e.g., non-small cell lung cancer)
- Dose administered and route (IV)
- Start and stop times for infusion
- NDC in 11-digit format on claim
- JW or JZ modifier for single-use vial
Common Billing Mistakes
- Incorrect unit calculation (J9306 = 10 mg per unit)
- Missing JW or JZ modifier for single-use vial
- NDC in wrong format
Common Denials & Rejections
Denials
- CO-50: Not medically necessary
- CO-16: Missing or invalid NDC
- CO-197: Prior authorization missing
Rejections
- Missing prior authorization
- NDC format error
- Missing JW/JZ modifier
Related CARC Codes
CO-50CO-16CO-197
Related RARC Codes
N130N382
Related Modifiers
JWJZ
Quick Actions
Related Payer Policies
- Most payers require prior authorization
- Medicare covers for FDA-approved indications