HELPING YOU INTEGRATE FIRMAGON® (degarelix for injection) INTO YOUR PRACTICE
We offer extensive services and information to help reduce disruption to operations so you can focus on patient care. From reimbursement codes to up-to-date ordering options, we help your practice at a level that suits your needs.
Request a Rep Visit
One of our helpful reps would be happy to come to your office, answer any questions you may have about FIRMAGON, and provide useful resources for your practice.
Two Ways to Order
There are 2 potential ways to acquire FIRMAGON for your patients: either through a specialty pharmacy or buy-and-bill. In many cases, you can determine the best option for your practice.
SUPPORT THROUGHOUT THE PROCESS
Enroll your practice in FIRMAGON Support Services
- Speak with trained reimbursement specialists by phone or Live Chat 24/7
- Quick-launch access to most-used links and forms
- Easy-to-find, up-to-date Medicare reimbursement rate
- Comprehensive list of all cases with current status and associated documents
Already enrolled? firmagononline.com.Visit
To enroll by telephone, call 877-971-3778.
FIRMAGON REIMBURSEMENT CODES & MONTHLY BILLING
FIRMAGON Is Billed By The Milligram (mg): Starting Dose = 240 mg; Each Subsequent Dose = 80 mg.
|HCPCS||J9155||1 mg, injection degarelix|
|CPT||96402*||Chemotherapy administration, subcutaneous or intramuscular: hormonal antineoplastic|
|FIRMAGON 240 mg dose (120 mg x 2) |
FIRMAGON 80 mg dose (80 mg x 1)
|ICD-10-CM||Malignant neoplasm of prostate (C61)|
1 mg, injection degarelix
| CPT |
Chemotherapy administration, subcutaneous or intramuscular: hormonal antineoplastic
| NDC |
FIRMAGON 240 mg dose (120mg x 2)
FIRMAGON 80 mg dose (80mg x 1)
Malignant neoplasm of prostate (C61)
This information is provided for reference only. The healthcare provider must determine the proper coding for the applicable diagnosis and treatment provided, in his/her medical discretion.
Coverage and payment policies for the same insurer, such as Medicare, can vary from one region to another and may change from time to time because of ongoing changes in government and insurance industry rules and regulations. Ferring does not guarantee coverage or payment of its products.
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.
†Refer to Evaluation and Management coding (E/M) requirements to apply the correct code.
CPT is a registered trademark of the American Medical Association (AMA)
99214: A level-4 established office visit involves 2 out of 3 of the following: a detailed history, detailed examination, and medical decision-making of moderate complexity or 25 minutes of face-to-face with the patient.
99213: A level-3 established office visit involves 2 out of 3 of the following: expanded problem-focused history, expanded problem-focused examination, and medical decision-making of low complexity or 15 minutes of face-to-face with the patient.
99212: A level-2 established office visit involves 2 out of 3 of the following: problem-focused history, problem-focused examination, and straightforward medical decision-making or 10 minutes of face-to-face with the patient.