In short

Mesna is billed under HCPCS J9209 — Injection, mesna, 200 mg. One billing unit is 200 mg. CMS's crosswalk lists 6 Mesna NDCs under this code.

J9209 code details

Reference

J9209
Injection, mesna, 200 mgBilling unit: 200 mg
Labelers
Athenex Pharmaceutical Division, LLC; Baxter Healthcare Corporation; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Sagent Pharmaceuticals

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$1.203
Per200 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

Mesna units and claim line

Enter the dose given to get the J9209 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Mesna 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.

Mesna NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00143-9260-01J9209Hikma Pharmaceuticals USA Inc.105
10019-0953-01J9209Baxter Healthcare Corporation105
25021-0201-10J9209Sagent Pharmaceuticals105
25021-0201-11J9209Sagent Pharmaceuticals10 × 1050
63323-0733-11J9209FreseniUS Kabi USA, LLC105
70860-0209-10J9209Athenex Pharmaceutical Division, LLC105

Mesna: common questions

What is the J-code for Mesna?
Mesna is billed under HCPCS J9209 — Injection, mesna, 200 mg. One billing unit is 200 mg. CMS's crosswalk lists 6 Mesna NDCs under this code.
How many J9209 billing units are in a package of Mesna?
CMS lists 5 to 50 billing units per package, depending on the NDC, where one unit is 200 mg. Units to report are based on the dose given, not the package.
Is J9209 a CPT code?
No. J9209 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.

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