HCPCS drug code · CMS crosswalk
Irinotecan HCl J-Code / HCPCS Code
In short
Irinotecan HCl is billed under HCPCS J9206 — Injection, irinotecan, 20 mg. One billing unit is 20 mg. CMS's crosswalk lists 25 Irinotecan HCl NDCs under this code.
Reference
- J9206
- Injection, irinotecan, 20 mgBilling unit: 20 mg
- Labelers
- Actavis Pharma, Inc.; Apotex Corp; BluePoint Laboratories; Eugia US LLC; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Ingenus Pharmaceuticals LLC; Northstar RxLLCand 3 more
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: AMP-based payment limit. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Irinotecan HCl units and claim line
Enter the dose given to get the J9206 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Irinotecan HCl 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 |
|---|---|---|---|---|
| 00143-9701-01 | J9206 | Hikma Pharmaceuticals USA Inc. | 5 | 5 |
| 00143-9702-01 | J9206 | Hikma Pharmaceuticals USA Inc. | 2 | 2 |
| 16714-0027-01 | J9206 | Northstar RxLLC | 2 | 2 |
| 16714-0131-01 | J9206 | Northstar RxLLC | 5 | 5 |
| 25021-0230-02 | J9206 | Sagent Pharmaceuticals | 2 | 2 |
| 25021-0230-05 | J9206 | Sagent Pharmaceuticals | 5 | 5 |
| 45963-0614-51 | J9206 | Actavis Pharma, Inc. | 2 | 2 |
| 45963-0614-55 | J9206 | Actavis Pharma, Inc. | 5 | 5 |
| 50742-0401-02 | J9206 | Ingenus Pharmaceuticals LLC | 2 | 2 |
| 50742-0402-05 | J9206 | Ingenus Pharmaceuticals LLC | 5 | 5 |
| 55150-0352-01 | J9206 | Eugia US LLC | 2 | 2 |
| 55150-0353-01 | J9206 | Eugia US LLC | 5 | 5 |
| 55150-0354-01 | J9206 | Eugia US LLC | 15 | 15 |
| 60505-6128-00 | J9206 | Apotex Corp | 2 | 2 |
| 60505-6128-01 | J9206 | Apotex Corp | 5 | 5 |
| 60505-6272-01 | J9206 | Apotex Corp | 5 | 5 |
| 61703-0349-09 | J9206 | Pfizer Inc | 5 | 5 |
| 61703-0349-16 | J9206 | Pfizer Inc | 2 | 2 |
| 61703-0349-36 | J9206 | Pfizer Inc | 25 | 25 |
| 63323-0193-52 | J9206 | FreseniUS Kabi USA, LLC | 2 | 2 |
| 63323-0193-55 | J9206 | FreseniUS Kabi USA, LLC | 5 | 5 |
| 68001-0480-22 | J9206 | BluePoint Laboratories | 5 | 5 |
| 68001-0480-35 | J9206 | BluePoint Laboratories | 2 | 2 |
| 70700-0169-22 | J9206 | Xiromed, LLC | 2 | 2 |
| 70700-0170-22 | J9206 | Xiromed, LLC | 5 | 5 |
Irinotecan HCl: common questions
- What is the J-code for Irinotecan HCl?
- Irinotecan HCl is billed under HCPCS J9206 — Injection, irinotecan, 20 mg. One billing unit is 20 mg. CMS's crosswalk lists 25 Irinotecan HCl NDCs under this code.
- How many J9206 billing units are in a package of Irinotecan HCl?
- CMS lists 2 to 25 billing units per package, depending on the NDC, where one unit is 20 mg. Units to report are based on the dose given, not the package.
- Is J9206 a CPT code?
- No. J9206 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.