HCPCS drug code · CMS crosswalk
Folotyn J-Code / HCPCS Code
In short
Folotyn is billed under HCPCS J9307 — Injection, pralatrexate, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 2 Folotyn NDCs under this code.
Reference
- J9307
- Injection, pralatrexate, 1 mgBilling unit: 1 mg
- Labelers
- Acrotech Biopharma LLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$384.572
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
Folotyn units and claim line
Enter the dose given to get the J9307 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Folotyn 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 |
|---|---|---|---|---|
| 72893-0003-01 | J9307 | Acrotech Biopharma LLC | 1 | 20 |
| 72893-0005-01 | J9307 | Acrotech Biopharma LLC | 2 | 40 |
Folotyn: common questions
- What is the J-code for Folotyn?
- Folotyn is billed under HCPCS J9307 — Injection, pralatrexate, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 2 Folotyn NDCs under this code.
- How many J9307 billing units are in a package of Folotyn?
- CMS lists 20 to 40 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 J9307 a CPT code?
- No. J9307 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.