HCPCS drug code · CMS crosswalk
Abraxane J-Code / HCPCS Code
In short
Abraxane is billed under HCPCS J9264 — Injection, paclitaxel protein-bound particles, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Abraxane NDC under this code.
Reference
- J9264
- Injection, paclitaxel protein-bound particles, 1 mgBilling unit: 1 mg
- Labelers
- Celgene Corporation
Medicare Part B payment limit
CMS ASP filePayment limit per unit$3.64
Per1 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Abraxane units and claim line
Enter the dose given to get the J9264 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Abraxane NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 68817-0134-50 | J9264 | Celgene Corporation | 1 | 100 |
Abraxane: common questions
- What is the J-code for Abraxane?
- Abraxane is billed under HCPCS J9264 — Injection, paclitaxel protein-bound particles, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Abraxane NDC under this code.
- How many J9264 billing units are in a package of Abraxane?
- CMS lists 100 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J9264 a CPT code?
- No. J9264 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.