J codes typically represent drugs that are not self-administered, inhalation solutions and chemotherapy drugs. Q codes are temporary codes that the Centers for Medicare & Medicaid Services (CMS) establishes to represent services and supplies that do not yet have a permanent code.
What are the CPT codes for chemotherapy?
According to CMS,
- Chemotherapy administration services: CPT codes 96400, 96408 to 96425, 96520 and 96530
- Therapeutic or diagnostic infusions (excluding chemotherapy): CPT codes 90780 to 90781
- Drug injection codes (90782 to 90788) are paid under the Medicare physician fee schedule.
For chemotherapy administration services furnished prior to January 1, 2004, the carrier allowed CPT code 96408 (Chemotherapy administration, intravenous; push technique) to be reported only once per day, even if the physician administered multiple drugs.
Chemotherapy Drugs HCPCS Code range J9000-J9999
The HCPCS codes range Chemotherapy Drugs J9000-J9999 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.
HCPCS Code range (J9000-J9999), Chemotherapy Drugs, contains HCPCS codes for Injection, doxorubicin hydrochloride 10 mg, alemtuzumab 10 mg, aldesleukin per single use vial, arsenic trioxide 1 mg, asparaginase (erwinaze) 1,000 iu, azacitidine 1 mg, clofarabine 1 mg, bendamustine hcl 1 mg, Bcg (intravesical) per instillation.
J9000: Injection, doxorubicin hydrochloride, 10 mg
J9015: Injection, aldesleukin, per single use vial
J9017: Injection, arsenic trioxide, 1 mg
J9019: Injection, asparaginase (Erwinaze), 1, 000 IU
J9020: Injection, asparaginase, not otherwise specified, 10, 000 units
J9022: Injection, atezolizumab, 10 mg
J9023: Injection, avelumab, 10 mg
J9025: Injection, azacitidine, 1 mg
J9027: Injection, clofarabine, 1 mg
J9030: BCG live intravesical instillation, 1 mg
J9032: Injection, belinostat, 10 mg
J9033: Injection, bendamustine HCL (treanda), 1 mg
J9034: Injection, bendamustine HCL (bendeka), 1 mg
J9035: Injection, bevacizumab, 10 mg
J9036: Injection, bendamustine hydrochloride, (Belrapzo), 1 mg
J9039: Injection, blinatumomab, 1 microgram
J9040: Injection, bleomycin sulfate, 15 units
J9041: Injection, bortezomib (velcade), 0.1 mg
J9042: Injection, brentuximab vedotin, 1 mg
J9043: Injection, cabazitaxel, 1 mg
J9044: Injection, bortezomib, not otherwise specified, 0.1 mg
J9045: Injection, carboplatin, 50 mg
J9047: Injection, carfilzomib, 1 mg
J9050: Injection, carmustine, 100 mg
J9055: Injection, cetuximab, 10 mg
J9057: Injection, copanlisib, 1 mg
J9060: Injection, cisplatin, powder or solution, 10 mg
J9065: Injection, cladribine, per 1 mg
J9070: Cyclophosphamide, 100 mg
J9098: Injection, cytarabine liposome, 10 mg
J9100: Injection, cytarabine, 100 mg
J9118: Injection, calaspargase pegol-mknl, 10 units
J9119: Injection, cemiplimab-rwlc, 1 mg
J9120: Injection, dactinomycin, 0.5 mg
J9130: Dacarbazine, 100 mg
J9145: Injection, daratumumab, 10 mg
J9150: Injection, daunorubicin, 10 mg
J9151: Injection, daunorubicin Citrate, liposomal formulation, 10 mg
J9153: Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine
J9155: Injection, degarelix, 1 mg
J9160: Injection, denileukin diftitox, 300 micrograms
J9165: Injection, diethylstilbestrol diphosphate, 250 mg
J9171: Injection, docetaxel, 1 mg
J9173: Injection, durvalumab, 10 mg
J9175: Injection, Elliotts’ B solution, 1 ml
J9176: Injection, elotuzumab, 1 mg
J9177: Injection, enfortumab vedotin-ejfv, 0.25 mg
J9178: Injection, epirubicin HCl, 2 mg
J9179: Injection, eribulin mesylate, 0.1 mg
J9181: Injection, etoposide, 10 mg
J9185: Injection, fludarabine phosphate, 50 mg
J9190: Injection, fluorouracil, 500 mg
J9198: Injection, gemcitabine hydrochloride, (infugem), 100 mg
J9200: Injection, floxuridine, 500 mg
J9201: Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg
J9202: Goserelin acetate implant, per 3.6 mg
J9203: Injection, gemtuzumab ozogamicin, 0.1 mg
J9204: Injection, mogamulizumab-kpkc, 1 mg
J9205: Injection, irinotecan liposome, 1 mg
J9206: Injection, irinotecan, 20 mg
J9207: Injection, ixabepilone, 1 mg
J9208: Injection, ifosfamide, 1 gram
J9209: Injection, mesna, 200 mg
J9210: Injection, emapalumab-lzsg, 1 mg
J9211: Injection, idarubicin hydrochloride, 5 mg
J9212: Injection, interferon alfacon-1, recombinant, 1 microgram
J9213: Injection, interferon, alfa-2a, recombinant, 3 million units
J9214: Injection, interferon, alfa-2b, recombinant, 1 million units
J9215: Injection, interferon, alfa-N3, (human leukocyte derived), 250, 000 IU
J9216: Injection, interferon, gamma 1-b, 3 million units
J9217: Leuprolide acetate (for depot suspension), 7.5 mg
J9218: Leuprolide acetate, per 1 mg
J9219: Leuprolide acetate implant, 65 mg
J9225: Histrelin implant (Vantas), 50 mg
J9226: Histrelin implant (Supprelin LA), 50 mg
J9228: Injection, ipilimumab, 1 mg
J9229: Injection, inotuzumab ozogamicin, 0.1 mg
J9230: Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg
J9245: Injection, melphalan hydrochloride, not otherwise specified, 50 mg
J9246: Injection, melphalan (evomela), 1 mg
J9250: Methotrexate sodium, 5 mg
J9260: Methotrexate sodium, 50 mg
J9261: Injection, nelarabine, 50 mg
J9262: Injection, omacetaxine mepesuccinate, 0.01 mg
J9263: Injection, oxaliplatin, 0.5 mg
J9264: Injection, paclitaxel protein-bound particles, 1 mg
J9266: Injection, pegaspargase, per single dose vial
J9267: Injection, paclitaxel, 1 mg
J9268: Injection, pentostatin, 10 mg
J9269: Injection, tagraxofusp-erzs, 10 micrograms
J9270: Injection, plicamycin, 2.5 mg
J9271: Injection, pembrolizumab, 1 mg
J9280: Injection, mitomycin, 5 mg
J9285: Injection, olaratumab, 10 mg
J9293: Injection, mitoxantrone hydrochloride, per 5 mg
J9295: Injection, necitumumab, 1 mg
J9299: Injection, nivolumab, 1 mg
J9301: Injection, obinutuzumab, 10 mg
J9302: Injection, ofatumumab, 10 mg
J9303: Injection, panitumumab, 10 mg
J9305: Injection, pemetrexed, 10 mg
J9306: Injection, pertuzumab, 1 mg
J9307: Injection, pralatrexate, 1 mg
J9308: Injection, ramucirumab, 5 mg
J9309: Injection, polatuzumab vedotin-piiq, 1 mg
J9311: Injection, rituximab 10 mg and hyaluronidase
J9312: Injection, rituximab, 10 mg
J9313: Injection, moxetumomab pasudotox-tdfk, 0.01 mg
J9315: Injection, romidepsin, 1 mg
J9320: Injection, streptozocin, 1 gram
J9325: Injection, talimogene laherparepvec, per 1 million plaque forming units
J9328: Injection, temozolomide, 1 mg
J9330: Injection, temsirolimus, 1 mg
J9340: Injection, thiotepa, 15 mg
J9351: Injection, topotecan, 0.1 mg
J9352: Injection, trabectedin, 0.1 mg
J9354: Injection, ado-trastuzumab emtansine, 1 mg
J9355: Injection, trastuzumab, excludes biosimilar, 10 mg
J9356: Injection, trastuzumab, 10 mg and Hyaluronidase-oysk
J9357: Injection, valrubicin, intravesical, 200 mg
J9358: Injection, fam-trastuzumab deruxtecan-nxki, 1 mg
J9360: Injection, vinblastine sulfate, 1 mg
J9370: Vincristine sulfate, 1 mg
J9371: Injection, vincristine sulfate liposome, 1 mg
J9390: Injection, vinorelbine tartrate, 10 mg
J9395: Injection, fulvestrant, 25 mg
J9400: Injection, ziv-aflibercept, 1 mg
J9600: Injection, porfimer sodium, 75 mg
J9999: Not otherwise classified, antineoplastic drugs
Chemotherapy Infusion and Hydration Therapy Infusion on Same Day
Separate payment is not allowed for the infusion of saline, an anti-emetic, or any other nonchemotherapy drug under CPT codes 90780 and 90781 when administered at the same time as chemotherapy infusion (CPT codes 96410, 96412, or 96414). Separate payment is allowed for these two services on the same day when they are provided sequentially, rather than at the same time. Physicians use the modifier “-59” to indicate when CPT codes 90780 and 90781 are provided sequentially with CPT codes 96410, 96412, and 96414.
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Source: HCPCS Codes
