HCPCS drug code · CMS crosswalk
Besponsa J-Code / HCPCS Code
In short
Besponsa is billed under HCPCS J9229 — Injection, inotuzumab ozogamicin, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 1 Besponsa NDC under this code.
Reference
- J9229
- Injection, inotuzumab ozogamicin, 0.1 mgBilling unit: 0.1 mg
- Labelers
- Pfizer Inc
Medicare Part B payment limit
CMS ASP filePayment limit per unit$2,873.103
Per0.1 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
Besponsa units and claim line
Enter the dose given to get the J9229 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Besponsa 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 |
|---|---|---|---|---|
| 00008-0100-01 | J9229 | Pfizer Inc | 1 | 9 |
Besponsa: common questions
- What is the J-code for Besponsa?
- Besponsa is billed under HCPCS J9229 — Injection, inotuzumab ozogamicin, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 1 Besponsa NDC under this code.
- How many J9229 billing units are in a package of Besponsa?
- CMS lists 9 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
- Is J9229 a CPT code?
- No. J9229 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.