How many J9268 billing units are in a package of Nipent?

CMS lists 1 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.

No. J9268 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.

Nipent J-Code J9268 — Billing Units & NDCs

In short

Nipent is billed under HCPCS J9268 — Injection, pentostatin, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 1 Nipent NDC under this code.

J9268 code details

Reference

J9268: Injection, pentostatin, 10 mgBilling unit: 10 mg
Labelers: Pfizer Inc

Medicare Part B payment limit

CMS ASP file

Payment limit per unit$2,612.893

Per10 mg

Coinsurance19.207%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Nipent units and claim line

Enter the dose given to get the J9268 units and the NDC line for the CMS-1500 and the 837P.

Dose given (mg)

HCPCS units (1 unit = 10 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

Nipent 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.

Nipent NDCs in the CMS ASP crosswalk
NDC (11-digit)	HCPCS	Labeler	Package	Billing units per package
00409-0801-01	J9268	Pfizer Inc	1	1

Nipent: common questions

What is the J-code for Nipent?: Nipent is billed under HCPCS J9268 — Injection, pentostatin, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 1 Nipent NDC under this code.
How many J9268 billing units are in a package of Nipent?: CMS lists 1 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.
Is J9268 a CPT code?: No. J9268 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.

Nipent J-Code / HCPCS Code