HCPCS drug code · CMS crosswalk
Paclitaxel Protein-Bound Particles J-Code / HCPCS Code
In short
Paclitaxel Protein-Bound Particles is billed under HCPCS J9264 — Injection, paclitaxel protein-bound particles, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 3 Paclitaxel Protein-Bound Particles NDCs under this code.
Reference
- J9264
- Injection, paclitaxel protein-bound particles, 1 mgBilling unit: 1 mg
- Labelers
- Mylan Institutional LLC; Northstar RxLLC; Sandoz Inc.
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
Paclitaxel Protein-Bound Particles units and claim line
Enter the dose given to get the J9264 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Paclitaxel Protein-Bound Particles 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 |
|---|---|---|---|---|
| 00781-3531-91 | J9264 | Sandoz Inc. | 1 | 100 |
| 67457-0937-50 | J9264 | Mylan Institutional LLC | 1 | 100 |
| 72603-0408-01 | J9264 | Northstar RxLLC | 1 | 100 |
Paclitaxel Protein-Bound Particles: common questions
- What is the J-code for Paclitaxel Protein-Bound Particles?
- Paclitaxel Protein-Bound Particles is billed under HCPCS J9264 — Injection, paclitaxel protein-bound particles, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 3 Paclitaxel Protein-Bound Particles NDCs under this code.
- How many J9264 billing units are in a package of Paclitaxel Protein-Bound Particles?
- CMS lists 100 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J9264 a CPT code?
- No. J9264 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.