In short

Enhertu is billed under HCPCS J9358 — Injection, fam-trastuzumab deruxtecan-nxki, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Enhertu NDC under this code.

J9358 code details

Reference

J9358
Injection, fam-trastuzumab deruxtecan-nxki, 1 mgBilling unit: 1 mg
Labelers
Daiichi Sankyo Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$32.653
Per1 mg
Coinsurance18.94%

Effective 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

Enhertu units and claim line

Enter the dose given to get the J9358 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Enhertu 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.

Enhertu NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
65597-0406-01J9358Daiichi Sankyo Inc.1100

Enhertu: common questions

What is the J-code for Enhertu?
Enhertu is billed under HCPCS J9358 — Injection, fam-trastuzumab deruxtecan-nxki, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Enhertu NDC under this code.
How many J9358 billing units are in a package of Enhertu?
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 J9358 a CPT code?
No. J9358 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.

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