HCPCS drug code · CMS crosswalk
Melphalan J-Code / HCPCS Code
In short
Melphalan is billed under HCPCS J9245 — Injection, melphalan hydrochloride, not otherwise specified, 50 mg. One billing unit is 50 mg. CMS's crosswalk lists 13 Melphalan NDCs under this code.
Reference
- J9245
- Injection, melphalan hydrochloride, not otherwise specified, 50 mgBilling unit: 50 mg
- Labelers
- Actavis Pharma, Inc.; Athenex Pharmaceutical Division, LLC; Avenacy Inc.; Dr. Reddy's Laboratories Inc.; Fosun Pharma USA Inc.; FreseniUS Kabi USA, LLC; Heritage Pharmaceuticals Inc.; Meitheal Pharmaceuticals Inc.and 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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Melphalan units and claim line
Enter the dose given to get the J9245 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Melphalan 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 |
|---|---|---|---|---|
| 23155-0355-41 | J9245 | Heritage Pharmaceuticals Inc. | 1 | 1 |
| 25021-0258-61 | J9245 | Sagent Pharmaceuticals | 1 | 1 |
| 43598-0392-48 | J9245 | Dr. Reddy's Laboratories Inc. | 1 | 1 |
| 45963-0686-02 | J9245 | Actavis Pharma, Inc. | 1 | 1 |
| 63323-0760-20 | J9245 | FreseniUS Kabi USA, LLC | 1 | 1 |
| 67457-0195-01 | J9245 | Mylan Institutional LLC | 1 | 1 |
| 67457-0215-01 | J9245 | Mylan Institutional LLC | 1 | 1 |
| 70700-0278-97 | J9245 | Xiromed, LLC | 1 | 1 |
| 70860-0214-61 | J9245 | Athenex Pharmaceutical Division, LLC | 1 | 1 |
| 71288-0132-90 | J9245 | Meitheal Pharmaceuticals Inc. | 1 | 1 |
| 72266-0128-01 | J9245 | Fosun Pharma USA Inc. | 1 | 1 |
| 75907-0112-11 | J9245 | Dr. Reddy's Laboratories Inc. | 1 | 1 |
| 83634-0202-61 | J9245 | Avenacy Inc. | 1 | 1 |
Melphalan: common questions
- What is the J-code for Melphalan?
- Melphalan is billed under HCPCS J9245 — Injection, melphalan hydrochloride, not otherwise specified, 50 mg. One billing unit is 50 mg. CMS's crosswalk lists 13 Melphalan NDCs under this code.
- How many J9245 billing units are in a package of Melphalan?
- CMS lists 1 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 J9245 a CPT code?
- No. J9245 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.