HCPCS drug code · CMS crosswalk
Palonosetron J-Code / HCPCS Code
In short
Palonosetron is billed under HCPCS J2469 — Injection, palonosetron hcl, 25 mcg. One billing unit is 25 mcg. CMS's crosswalk lists 18 Palonosetron NDCs under this code.
Reference
- J2469
- Injection, palonosetron hcl, 25 mcgBilling unit: 25 mcg
- Labelers
- Apotex Corp; Baxter Healthcare Corporation; BluePoint Laboratories; Dr. Reddy's Laboratories Inc.; Eugia US LLC; FreseniUS Kabi USA, LLC; Meitheal Pharmaceuticals Inc.; Mylan Institutional LLCand 6 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. CMS note: AMP-based payment limit. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Palonosetron units and claim line
Enter the dose given to get the J2469 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Palonosetron 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 |
|---|---|---|---|---|
| 00409-2504-10 | J2469 | Pfizer Inc | 5 | 10 |
| 00703-4094-01 | J2469 | Teva Parenteral Medicines, Inc. | 5 | 10 |
| 00781-3312-75 | J2469 | Sandoz Inc. | 5 | 10 |
| 00781-3312-95 | J2469 | Sandoz Inc. | 10 × 5 | 100 |
| 00781-3415-75 | J2469 | Sandoz Inc. | 5 | 10 |
| 16714-0834-01 | J2469 | Northstar RxLLC | 5 | 10 |
| 25021-0783-05 | J2469 | Sagent Pharmaceuticals | 5 | 10 |
| 25021-0788-74 | J2469 | Sagent Pharmaceuticals | 5 × 5 | 50 |
| 36000-0326-02 | J2469 | Baxter Healthcare Corporation | 5 | 10 |
| 55111-0694-07 | J2469 | Dr. Reddy's Laboratories Inc. | 5 | 10 |
| 55150-0186-05 | J2469 | Eugia US LLC | 5 | 10 |
| 60505-6193-01 | J2469 | Apotex Corp | 5 | 10 |
| 63323-0673-05 | J2469 | FreseniUS Kabi USA, LLC | 5 | 10 |
| 63323-0673-89 | J2469 | FreseniUS Kabi USA, LLC | 10 × 5 | 100 |
| 67457-0317-25 | J2469 | Mylan Institutional LLC | 5 | 10 |
| 68001-0355-25 | J2469 | BluePoint Laboratories | 5 | 10 |
| 69543-0371-10 | J2469 | Virtus Pharmaceuticals, LLC | 10 × 5 | 100 |
| 71288-0409-05 | J2469 | Meitheal Pharmaceuticals Inc. | 5 | 10 |
Palonosetron: common questions
- What is the J-code for Palonosetron?
- Palonosetron is billed under HCPCS J2469 — Injection, palonosetron hcl, 25 mcg. One billing unit is 25 mcg. CMS's crosswalk lists 18 Palonosetron NDCs under this code.
- How many J2469 billing units are in a package of Palonosetron?
- CMS lists 10 to 100 billing units per package, depending on the NDC, where one unit is 25 mcg. Units to report are based on the dose given, not the package.
- Is J2469 a CPT code?
- No. J2469 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.