HCPCS drug code · CMS crosswalk
Elzonris J-Code / HCPCS Code
In short
Elzonris is billed under HCPCS J9269 — Injection, tagraxofusp-erzs, 10 micrograms. One billing unit is 10 mcg. CMS's crosswalk lists 1 Elzonris NDC under this code.
Reference
- J9269
- Injection, tagraxofusp-erzs, 10 microgramsBilling unit: 10 mcg
- Labelers
- Stemline Therapeutics, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$357.292
Per10 mcg
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
Elzonris units and claim line
Enter the dose given to get the J9269 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Elzonris 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 |
|---|---|---|---|---|
| 72187-0401-01 | J9269 | Stemline Therapeutics, Inc. | 1 | 100 |
Elzonris: common questions
- What is the J-code for Elzonris?
- Elzonris is billed under HCPCS J9269 — Injection, tagraxofusp-erzs, 10 micrograms. One billing unit is 10 mcg. CMS's crosswalk lists 1 Elzonris NDC under this code.
- How many J9269 billing units are in a package of Elzonris?
- CMS lists 100 billing units per package, depending on the NDC, where one unit is 10 mcg. Units to report are based on the dose given, not the package.
- Is J9269 a CPT code?
- No. J9269 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.