HCPCS drug code · CMS crosswalk
Grafapex J-Code / HCPCS Code
In short
Grafapex is billed under HCPCS J0614 — Injection, treosulfan, 50 mg. One billing unit is 50 mg. CMS's crosswalk lists 2 Grafapex NDCs under this code.
Reference
- J0614
- Injection, treosulfan, 50 mgBilling unit: 50 mg
- Labelers
- Medexus Pharma, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$32.33
Per50 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
Grafapex units and claim line
Enter the dose given to get the J0614 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Grafapex 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 |
|---|---|---|---|---|
| 59137-0335-01 | J0614 | Medexus Pharma, Inc. | 1 | 20 |
| 59137-0365-01 | J0614 | Medexus Pharma, Inc. | 1 | 100 |
Grafapex: common questions
- What is the J-code for Grafapex?
- Grafapex is billed under HCPCS J0614 — Injection, treosulfan, 50 mg. One billing unit is 50 mg. CMS's crosswalk lists 2 Grafapex NDCs under this code.
- How many J0614 billing units are in a package of Grafapex?
- CMS lists 20 to 100 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.
- Is J0614 a CPT code?
- No. J0614 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.