HCPCS drug code · CMS crosswalk
Padcev J-Code / HCPCS Code
In short
Padcev is billed under HCPCS J9177 — Injection, enfortumab vedotin-ejfv, 0.25 mg. One billing unit is 0.25 mg. CMS's crosswalk lists 2 Padcev NDCs under this code.
Reference
- J9177
- Injection, enfortumab vedotin-ejfv, 0.25 mgBilling unit: 0.25 mg
- Labelers
- Pfizer Inc
Medicare Part B payment limit
CMS ASP filePayment limit per unit$36.535
Per0.25 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
Padcev units and claim line
Enter the dose given to get the J9177 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Padcev 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 |
|---|---|---|---|---|
| 51144-0020-01 | J9177 | Pfizer Inc | 1 | 80 |
| 51144-0030-01 | J9177 | Pfizer Inc | 1 | 120 |
Padcev: common questions
- What is the J-code for Padcev?
- Padcev is billed under HCPCS J9177 — Injection, enfortumab vedotin-ejfv, 0.25 mg. One billing unit is 0.25 mg. CMS's crosswalk lists 2 Padcev NDCs under this code.
- How many J9177 billing units are in a package of Padcev?
- CMS lists 80 to 120 billing units per package, depending on the NDC, where one unit is 0.25 mg. Units to report are based on the dose given, not the package.
- Is J9177 a CPT code?
- No. J9177 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.