HCPCS drug code · CMS crosswalk
Etoposide J-Code / HCPCS Code
In short
CMS assigns Etoposide NDCs to 2 HCPCS codes: J8560 (per 50 mg), J9187 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J8560
- Etoposide; oral, 50 mgBilling unit: 50 mg
- J9187
- Injection, etoposide, 1 mgBilling unit: 1 mg
- Labelers
- Accord Healthcare Inc; BluePoint Laboratories; Bluepoint Laboratories; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Meitheal Pharmaceuticals Inc.; Mylan Pharmaceuticals 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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
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: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Etoposide units and claim line
Enter the dose given to get the J8560 units and the NDC line for the CMS-1500 and the 837P. This builds the J8560 line; use the code page for J9187.
Enter the dose given to build the claim line.
Etoposide 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 |
|---|---|---|---|---|
| 00378-3266-94 | J8560 | Mylan Pharmaceuticals Inc. | 20 | 20 |
| 00143-9376-01 | J9187 | Hikma Pharmaceuticals USA Inc. | 5 | 100 |
| 00143-9510-01 | J9187 | Hikma Pharmaceuticals USA Inc. | 5 | 100 |
| 00143-9511-01 | J9187 | Hikma Pharmaceuticals USA Inc. | 25 | 500 |
| 00143-9512-01 | J9187 | Hikma Pharmaceuticals USA Inc. | 50 | 1000 |
| 16729-0114-08 | J9187 | Accord Healthcare Inc | 25 | 500 |
| 16729-0114-11 | J9187 | Accord Healthcare Inc | 50 | 1000 |
| 16729-0114-31 | J9187 | Accord Healthcare Inc | 5 | 100 |
| 63323-0104-05 | J9187 | FreseniUS Kabi USA, LLC | 10 × 5 | 100 |
| 63323-0104-06 | J9187 | FreseniUS Kabi USA, LLC | 5 | 100 |
| 63323-0104-25 | J9187 | FreseniUS Kabi USA, LLC | 25 | 500 |
| 63323-0104-50 | J9187 | FreseniUS Kabi USA, LLC | 50 | 1000 |
| 68001-0265-25 | J9187 | BluePoint Laboratories | 5 | 100 |
| 68001-0265-26 | J9187 | BluePoint Laboratories | 25 | 500 |
| 68001-0265-27 | J9187 | BluePoint Laboratories | 50 | 1000 |
| 68001-0682-26 | J9187 | Bluepoint Laboratories | 25 | 500 |
| 68001-0683-27 | J9187 | Bluepoint Laboratories | 50 | 1000 |
| 71288-0175-05 | J9187 | Meitheal Pharmaceuticals Inc. | 5 | 100 |
| 71288-0176-25 | J9187 | Meitheal Pharmaceuticals Inc. | 25 | 500 |
| 71288-0177-50 | J9187 | Meitheal Pharmaceuticals Inc. | 50 | 1000 |
Etoposide: common questions
- What is the J-code for Etoposide?
- CMS assigns Etoposide NDCs to 2 HCPCS codes: J8560 (per 50 mg), J9187 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J8560 billing units are in a package of Etoposide?
- CMS lists 20 billing units per package, depending on the NDC, where one unit is 50 mg. Units to report are based on the dose given, not the package.
- How many J9187 billing units are in a package of Etoposide?
- CMS lists 100 to 1,000 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 J8560 a CPT code?
- No. J8560 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.