HCPCS drug code · CMS crosswalk
Idamycin Pfs J-Code / HCPCS Code
In short
Idamycin Pfs is billed under HCPCS J9211 — Injection, idarubicin hydrochloride, 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 6 Idamycin Pfs NDCs under this code.
Reference
- J9211
- Injection, idarubicin hydrochloride, 5 mgBilling unit: 5 mg
- Labelers
- Pfizer Inc
Medicare Part B payment limit
CMS ASP filePayment limit per unit$33.394
Per5 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
Idamycin Pfs units and claim line
Enter the dose given to get the J9211 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Idamycin Pfs 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 |
|---|---|---|---|---|
| 00013-2576-05 | J9211 | Pfizer Inc | 5 | 1 |
| 00013-2576-91 | J9211 | Pfizer Inc | 5 | 1 |
| 00013-2586-10 | J9211 | Pfizer Inc | 10 | 2 |
| 00013-2586-91 | J9211 | Pfizer Inc | 10 | 2 |
| 00013-2596-20 | J9211 | Pfizer Inc | 20 | 4 |
| 00013-2596-91 | J9211 | Pfizer Inc | 20 | 4 |
Idamycin Pfs: common questions
- What is the J-code for Idamycin Pfs?
- Idamycin Pfs is billed under HCPCS J9211 — Injection, idarubicin hydrochloride, 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 6 Idamycin Pfs NDCs under this code.
- How many J9211 billing units are in a package of Idamycin Pfs?
- CMS lists 1 to 4 billing units per package, depending on the NDC, where one unit is 5 mg. Units to report are based on the dose given, not the package.
- Is J9211 a CPT code?
- No. J9211 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.