what is the icd drug table code for firmagon

What is the ICD 10 code for Firmagon?

For more information about ICD-10, visit www.cms.gov/Medicare/Coding/icd10 *The practitioner must determinate the proper coding for the treatment provided. Use the product-specific HCPCS code J9155 for both doses of FIRMAGON. *Starting dose can be billed as 2 separate injection procedures in the first month.

How many milligrams of Firmagon are in a dose?

Firmagon dosing information. Usual Adult Dose for Prostate Cancer: -Initial Dose: 240 mg administered as 2 subcutaneous injections of 120 mg each at a concentration of 40 mg/mL. -Maintenance Dose: 80 mg administered as 1 subcutaneous injection at a concentration of 20 mg/mL every 28 days.

What are the contraindications for Firmagon?

FIRMAGON ® is a GnRH receptor antagonist indicated for treatment of patients with advanced prostate cancer. FIRMAGON is contraindicated in patients with a known hypersensitivity to degarelix or to any of the product components and in women who are or may become pregnant. FIRMAGON can cause fetal harm when administered to a pregnant woman.

What is Firmagon used to treat?

Firmagon ® is indicated for treatment of patients with advanced prostate cancer. Firmagon is administered as a subcutaneous injection in the abdominal region only at the dosages in Table 1 below. The first maintenance dose should be given 28 days after the starting dose. Firmagon is to be administered by a healthcare professional only.

What is the J code for firmagon?

Firmagon (Degarelix), 1 mg, is billed with HCPCS code J9155. Report 1 unit for every 1 mg. This drug is administered with a loading dose of 240 mg (two injections of 120 mg), (2 × 3 mL), NDC 55566-8401-01 and then a maintenance dose of 8 mg every 28 days (injection of 4 mL) NDC 55566-8301-01.

How do you bill degarelix?

Use the product-specific HCPCS code J9155 for both doses of FIRMAGON. *Starting dose can be billed as 2 separate injection procedures in the first month.

What is the J code for degarelix?

Injection, degarelix, 1 mg J9155 - HCPCS Codes - Codify by AAPC.

Does Medicare pay for firmagon?

For Medicare Advantage Products, Gonadotropin-Releasing Hormone (GnRH) Receptor Antagonist [Degarelix (Firmagon)] is non-covered; and for members with a Medicare drug plan (Part D) Gonadotropin-Releasing Hormone (GnRH) Receptor Antagonist [Degarelix (Firmagon) may be covered under that plan.

Is FIRMAGON considered chemotherapy?

Degarelix is the generic name for the trade name drug Firmagon®. In some cases, health care professionals may use the trade name Firmagon® when referring to the generic drug name degarelix. Drug Type: Degarelix is an anti-cancer ("antineoplastic") chemotherapy drug.

Is FIRMAGON an ADT?

FIRMAGON is an ADT, and as with any ADT you may notice aftereffects of the medicine. If you have any questions or concerns, speak with your treatment team immediately.

What is CPT J9217 used for?

HCPCS code J9217 for Leuprolide acetate (for depot suspension), 7.5 mg as maintained by CMS falls under Chemotherapy Drugs.

What is the full description for CPT code 96402?

CPT® Code 96402 - Injection and Intravenous Infusion Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration - Codify by AAPC.

What is J9217?

J9217. LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG.

Is eligard the same as Firmagon?

Eligard, Trelstar, and Firmagon are all indicated for the treatment of advanced prostate cancer. 1-3 Eligard and Trelstar are gonadotropin-releasing hormone (GnRH) agonists, whereas Firmagon is a GnRH antagonist. Table 1 has the approved doses for the three agents.

How do you find out what drugs are covered by Medicare?

Get information about specific drug plans and health plans with drug coverage in your area by visiting Medicare.gov/plan-compare or by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.

What are Medicare costs for 2021?

The standard monthly premium for Medicare Part B enrollees will be $148.50 for 2021, an increase of $3.90 from $144.60 in 2020. The annual deductible for all Medicare Part B beneficiaries is $203 in 2021, an increase of $5 from the annual deductible of $198 in 2020.

What is Firmagon powder?

Firmagon is a sterile lyophilized powder for injection containing degarelix (as the acetate) and mannitol. Degarelix is a synthetic linear decapeptide amide containing seven unnatural amino acids, five of which are D-amino acids. The acetate salt of degarelix is a white to off-white amorphous powder of low density as obtained after lyophilization.

How long does Firmagon last?

Following subcutaneous administration of 240 mg Firmagon at a concentration of 40 mg/mL to prostate cancer patients, degarelix is eliminated in a biphasic fashion, with a median terminal half-life of approximately 53 days. The long half-life after subcutaneous administration is a consequence of a very slow release of degarelix from the Firmagon depot formed at the injection site (s). Approximately 20-30% of a given dose of degarelix was renally excreted, suggesting that approximately 70-80% is excreted via the hepato-biliary system in humans. Following subcutaneous administration of degarelix to prostate cancer patients the clearance is approximately 9 L/hr.

How much Firmagon is effective for testosterone?

Pharmacodynamics. A single dose of 240 mg Firmagon causes a decrease in the plasma concentrations of luteinizing hormone (LH) and follicle stimulating hormone (FSH), and subsequently testosterone. Firmagon is effective in achieving and maintaining testosterone suppression below the castration level of 50 ng/dL.

Can you administer Firmagon by subcutaneous injection?

As with other drugs administered by subcutaneous injection, the injection site should vary periodically.

Is Firmagon safe for breastfed women?

The safety and efficacy of Firmagon have not been established in females. There are no data on the presence of degarelix in human milk, the effects on the breastfed child, or the effects on milk production. Because many drugs are present in human milk and because of the potential for serious adverse reactions in a breastfed child from degarelix, a decision should be made whether to discontinue nursing or discontinue the drug taking into account the importance of the drug to the mother.

Does Firmagon cause abortion?

In animal developmental and reproductive toxicity studies in rats and rabbits, oral administration of degarelix during organogenesis caused embryo-fetal lethality and abortion as well as increased post-implantation loss and decreased the number of live fetuses in animals at doses less than the clinical loading dose based on body surface area. Advise pregnant patients and females of reproductive potential of the potential risk to the fetus [see Use in Specific Populations (8.1) ].

Can you give Firmagon to other people?

Medicines are sometimes prescribed for conditions that are not mentioned in a Patient Information leaflet. Do not use Firmagon for a condition for which it was not prescribed. Do not give Firmagon to other people, even if they have the same symptoms that you have. It may harm them.

How to report Firmagon side effects?

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Firmagon side effects (more detail)

What is Firmagon injection?

What is Firmagon? Firmagon ( degarelix) is a man-made form of a protein that reduces the amount of certain hormones in the body, including testosterone. Firmagon injection is used to treat prostate cancer. It works by decreasing the amount of testosterone in the body, which the tumor needs to grow.

How often is Firmagon given?

Firmagon is usually given once every 28 days. Follow your doctor's instructions. The first time you receive this medicine, you will be given two injections.

What to tell your doctor before taking Firmagon?

Before you receive Firmagon, tell your doctor if you have liver or kidney disease, a personal or family history of "Long QT syndrome," congestive heart failure, or an electrolyte imbalance, such as low or high levels of potassium or magnesium in your blood.

What are the symptoms of Firmagon?

Get emergency medical help if you have signs of an allergic reaction to Firmagon: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: fast or pounding heartbeats, fluttering in your chest; shortness of breath; sudden di zziness (like you might pass out); or.

Is Firmagon safe for women?

To make sure Firmagon is safe for you, tell your doctor if you have: an electrolyte imbalance, such as low or high levels of potassium, calcium, or magnesium in your blood. Although Firmagon is not for use by women, degarelix can harm an unborn baby or cause miscarriage if a woman is exposed to it during pregnancy.

What is Firmagon used for?

Firmagon is a prescription medicine used to treat the symptoms of Hormone-dependent Advanced Prostate Carcinoma (Stage D). Firmagon may be used alone or with other medications. Firmagon belongs to a class of drugs called Antineoplastics, Antiandrogen; Antineoplastics, GNRH Antagonist.

How much FIRMAGON is effective?

FIRMAGON is effective in achieving and maintaining testosterone suppression below the castration level of 50 ng/dL.

How much mannitol is in a vial of degarelix?

Degarelix has the following structural formula: FIRMAGON delivers degarelix acetate, equivalent to 120 mg of degarelix for the starting dose, and 80 mg of degarelix for the maintenance dose. The 80 mg vial contains 200 mg mannitol and the 120 mg vial contains 150 mg mannitol.

How old are people in the FIRMAGON study?

Of the total number of subjects in clinical studies of FIRMAGON, 82% were age 65 and over, while 42% were age 75 and over. No overall differences in safety or effectiveness were observed between these subjects and younger subjects, but greater sensitivity of some older individuals cannot be ruled out.

What is the chemical name of Degarelix?

The chemical name of degarelix is D-Alaninamide, N-acetyl-3- ...

Does Firmagon cause shortness of breath?

shortness of breath. Get medical help right away, if you have any of the symptoms listed above. The most common side effects of Firmagon include: difficulty having a bowel movement, flushing (warmth), weight gain, redness of the face, neck, arms, or upper chest, sudden sweating,

Does Firmagon cause abortion?

In animal developmental and reproductive toxicity studies in rats and rabbits, oral administration of degarelix during organogenesis caused embryo-fetal lethality and abortion as well as increased post-implantation loss and decreased the number of live fetuses in animals at doses less than the clinical loading dose based on body surface area. Advise pregnant patients and females of reproductive potential of the potential risk to the fetus [see Use In Specific Populations ].

Drug Information

The labeler code, product code, and package code segments of the National Drug Code number, separated by hyphens. Asterisks are no longer used or included within the product and package code segments to indicate certain configurations of the NDC.

Route & Dosage

The translation of the DosageForm Code submitted by the firm. The complete list of codes and translations can be found www.fda.gov/edrls under Structured Product Labeling Resources.

Drug Package Information

The labeler code, product code, and package code segments of the National Drug Code number, separated by hyphens. Asterisks are no longer used or included within the product and package code segments to indicate certain configurations of the NDC.

Product Application & Marketing Information

The labeler code and product code segments of the National Drug Code number, separated by a hyphen. Asterisks are no longer used or included within the product code segment to indicate certain configurations of the NDC.

Firmagon Dosage and Administration

Dosage Forms and Strengths

Contraindications

Warnings and Precautions

Adverse Reactions

Drug Interactions

Use in Specific Populations

Overdosage

Firmagon Description

Firmagon - Clinical Pharmacology

• Mechanism of Action
  Degarelix is a GnRH receptor antagonist. It binds reversibly to the pituitary GnRH receptors, thereby reducing the release of gonadotropins and consequently testosterone.
• Pharmacodynamics
  A single dose of 240 mg Firmagon causes a decrease in the plasma concentrations of luteinizing hormone (LH) and follicle stimulating hormone (FSH), and subsequently testosterone. Firmagon is effective in achieving and maintaining testosterone suppression below the castration level of 5…

See more on drugs.com