Phesgo hcpcs code
WebDrug: HCPCS code J9316 Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg Drug: NDC Note: Payer requirements regarding use of a 10-digit or 11-digit NDC may vary. Both for-mats are listed here for your reference 10-digit 11-digit 50242-245-01 50242 … WebNov 22, 2024 · The NDC Code 50242-260-01 is assigned to “Phesgo ” (also known as: “Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf”), a human prescription drug labeled …
Phesgo hcpcs code
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WebThe FDA product label includes the following information: other, 1.1 early breast cancer (ebc), 1.2 metastatic breast cancer (mbc), 2.1 patient selection, 2.2 important dosage and administration information, 2.3 recommended doses and schedu WebFor precertification of pertuzumab (Perjeta), call (866) 752-7021 (Commercial), (866) 503-0857 (Medicare), or fax (888) 267-3277. Criteria for Initial Approval Aetna considers pertuzumab (Perjeta) medically necessary for use in members with one of the following conditions: Breast Cancer
WebMar 2, 2024 · Phesgo contains two active substances, pertuzumab and trastuzumab, which are already authorised for treating early and metastatic HER2-positive breast cancer and are available as infusion into a vein.Phesgo is as effective at treating breast cancer as the individual medicines given into a vein. Because it is given under the skin, it may be more … WebJun 29, 2024 · The recommended initial dose of PHESGO is 1,200 mg pertuzumab, 600 mg trastuzumab, and 30,000 units hyaluronidase administered subcutaneously over approximately 8 minutes, followed every 3 weeks ...
WebPhesgo 1200 mg/600 mg/30,000 units (providing 1200 mg pertuzumab, 600 mg trastuzumab and 30,000 units hyaluronidase per 15 mL) single-dose vials: 50242-0245-xx Phesgo 600 mg/600 mg/20,000 units (providing 600 mg pertuzumab, 600 mg trastuzumab and 20,000 units hyaluronidase per 10 mL) single-dose vials: 50242-0260-xx VII. … WebJan 1, 2024 · CPT=Current Procedural Terminology; HCPCS=Healthcare Common Procedure Coding System; ICD-10-CM=International Classification of Diseases, 10th Revision, …
Webmember is currently receiving Phesgo for a covered indication and has received this medication for at least 30 days; 2. Member is responding positively to therapy; ... HCPCS Codes Description J9316 Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg Reviews, Revisions, and Approvals Date P&T Approval
Web• less than 6 weeks, the maintenance dose of Phesgo 600 mg/600 mg should be administered as soon as possible. Thereafter, continue with the 3-weekly schedule. • 6 weeks or more, a loading dose of Phesgo 1200 mg/600 mg should be re-administered followed by maintenance dose of Phesgo 600 mg/600 mg every 3 weeks thereafter. healthone pharmacyWebCodes referenced in this clinical policy are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the … good country mottosWebJan 1, 2024 · Phesgo™ (pertuzumab, trastuzumab and hyaluronidase-zzxf) (Subcutaneous) Document Number: IC-0553 Last Review Date: 01/01/2024 Date of Origin: 08/04/2024 … healthone parkerWebDec 1, 2024 · We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), … good country karaoke songsWebIndications. Early Breast Cancer PHESGO TM (pertuzumab, trastuzumab, and hyaluronidase-zzxf) is indicated for use in combination with chemotherapy for. the neoadjuvant treatment of adult patients with HER2-positive, locally advanced, inflammatory, or early stage breast cancer (either greater than 2 cm in diameter or node-positive) as part … health one pediatrics grove city fax numberWebApplicable CPT / HCPCS / ICD-10 Codes Background References Brand Selection for Medically Necessary Indications As defined in Aetna commercial policies, health care services are not medically necessary when they are more costly than alternative services that are at least as likely to produce equivalent therapeutic or diagnostic results. health one parker cohealth one pay bill