HCPCS drug code · CMS crosswalk
Docivyx J-Code / HCPCS Code
In short
Docivyx is billed under HCPCS J9172 — Injection, docetaxel (docivyx), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 3 Docivyx NDCs under this code.
Reference
- J9172
- Injection, docetaxel (docivyx), 1 mgBilling unit: 1 mg
- Labelers
- Avyxa Pharma, LLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$46.193
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
Docivyx units and claim line
Enter the dose given to get the J9172 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Docivyx 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 |
|---|---|---|---|---|
| 83831-0101-02 | J9172 | Avyxa Pharma, LLC | 2 | 20 |
| 83831-0102-08 | J9172 | Avyxa Pharma, LLC | 8 | 80 |
| 83831-0103-16 | J9172 | Avyxa Pharma, LLC | 16 | 160 |
Docivyx: common questions
- What is the J-code for Docivyx?
- Docivyx is billed under HCPCS J9172 — Injection, docetaxel (docivyx), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 3 Docivyx NDCs under this code.
- How many J9172 billing units are in a package of Docivyx?
- CMS lists 20 to 160 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 J9172 a CPT code?
- No. J9172 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.