HCPCS drug code · CMS crosswalk
Adcetris J-Code / HCPCS Code
In short
Adcetris is billed under HCPCS J9042 — Injection, brentuximab vedotin, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Adcetris NDC under this code.
Reference
- J9042
- Injection, brentuximab vedotin, 1 mgBilling unit: 1 mg
- Labelers
- Pfizer Inc
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Adcetris units and claim line
Enter the dose given to get the J9042 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Adcetris 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 |
|---|---|---|---|---|
| 51144-0050-01 | J9042 | Pfizer Inc | 1 | 50 |
Adcetris: common questions
- What is the J-code for Adcetris?
- Adcetris is billed under HCPCS J9042 — Injection, brentuximab vedotin, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Adcetris NDC under this code.
- How many J9042 billing units are in a package of Adcetris?
- CMS lists 50 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 J9042 a CPT code?
- No. J9042 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.