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CMS to Release Permanent J-Code for Phesgo™ Injection

Pertuzumab, trastuzumab, and hyaluronidase-zzxf (Phesgo™, Genentech) injection for subcutaneous use will be issued a permanent J-Code that can be used starting January 1, 2021.

This single code (J9316) is to be used for all PHESGO patients and dosage strengths. 

Indications

Early Breast Cancer 
Phesgo™ (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 of a complete treatment regimen for early breast cancer (EBC); and

  • The adjuvant treatment of adult patients with HER2-positive early breast cancer (EBC) at high risk of recurrence.

Select patients for therapy based on an FDA-approved companion diagnostic test.

Metastatic Breast Cancer  
Phesgo™ is indicated for use in combination with docetaxel for the treatment of adult patients with HER2-positive metastatic breast cancer (MBC) who have not received prior anti-HER2 therapy or chemotherapy for metastatic disease.

Select patients for therapy based on an FDA-approved companion diagnostic test.

See prescribing information.

Posted on 11/19/2020