HCPCS drug code · CMS crosswalk
Pemetrexed J-Code / HCPCS Code
In short
CMS assigns Pemetrexed NDCs to 4 HCPCS codes: J9294 (per 10 mg), J9297 (per 10 mg), J9305 (per 10 mg), J9314 (per 10 mg). Which one applies depends on the product; the table lists each NDC with its code.
J9294 code detailsJ9297 code detailsJ9305 code detailsJ9314 code details
Reference
- J9294
- Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mgBilling unit: 10 mg
- J9297
- Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mgBilling unit: 10 mg
- J9305
- Injection, pemetrexed, not otherwise specified, 10 mgBilling unit: 10 mg
- J9314
- Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mgBilling unit: 10 mg
- Labelers
- Apotex Corp; Athenex Pharmaceutical Division, LLC; BluePoint Laboratories; Dr. Reddy's Laboratories Inc.; Eugia US LLC; FreseniUS Kabi USA, LLC; Ingenus Pharmaceuticals LLC; Meitheal Pharmaceuticals Inc.and 7 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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
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: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
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
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
Pemetrexed units and claim line
Enter the dose given to get the J9294 units and the NDC line for the CMS-1500 and the 837P. This builds the J9294 line; use the code page for J9297, J9305, J9314.
Enter the dose given to build the claim line.
Pemetrexed 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 |
|---|---|---|---|---|
| 00409-0004-04 | J9294 | Pfizer Inc | 40 | 100 |
| 00409-0020-02 | J9294 | Pfizer Inc | 4 | 10 |
| 00409-0021-03 | J9294 | Pfizer Inc | 20 | 50 |
| 00409-1045-01 | J9294 | Pfizer Inc | 4 | 10 |
| 00409-2188-01 | J9294 | Pfizer Inc | 20 | 50 |
| 00409-3532-01 | J9294 | Pfizer Inc | 40 | 100 |
| 00781-3518-76 | J9297 | Sandoz Inc. | 4 | 10 |
| 00781-3519-90 | J9297 | Sandoz Inc. | 20 | 50 |
| 25021-0260-10 | J9305 | Sagent Pharmaceuticals | 1 | 10 |
| 25021-0261-50 | J9305 | Sagent Pharmaceuticals | 1 | 50 |
| 43598-0370-74 | J9305 | Dr. Reddy's Laboratories Inc. | 1 | 100 |
| 43598-0386-62 | J9305 | Dr. Reddy's Laboratories Inc. | 1 | 10 |
| 43598-0387-11 | J9305 | Dr. Reddy's Laboratories Inc. | 1 | 50 |
| 50742-0341-01 | J9305 | Ingenus Pharmaceuticals LLC | 1 | 50 |
| 55150-0381-01 | J9305 | Eugia US LLC | 1 | 10 |
| 55150-0382-01 | J9305 | Eugia US LLC | 1 | 50 |
| 55150-0383-01 | J9305 | Eugia US LLC | 1 | 100 |
| 60505-6065-00 | J9305 | Apotex Corp | 1 | 10 |
| 60505-6066-00 | J9305 | Apotex Corp | 1 | 50 |
| 60505-6067-00 | J9305 | Apotex Corp | 1 | 100 |
| 60505-6068-00 | J9305 | Apotex Corp | 1 | 75 |
| 63323-0134-10 | J9305 | FreseniUS Kabi USA, LLC | 1 | 10 |
| 63323-0450-50 | J9305 | FreseniUS Kabi USA, LLC | 1 | 50 |
| 68001-0535-41 | J9305 | BluePoint Laboratories | 1 | 10 |
| 68001-0536-41 | J9305 | BluePoint Laboratories | 1 | 50 |
| 68001-0538-41 | J9305 | BluePoint Laboratories | 1 | 10 |
| 68001-0539-41 | J9305 | BluePoint Laboratories | 1 | 50 |
| 68001-0543-41 | J9305 | BluePoint Laboratories | 1 | 10 |
| 68001-0544-41 | J9305 | BluePoint Laboratories | 1 | 50 |
| 68001-0545-41 | J9305 | BluePoint Laboratories | 1 | 75 |
| 68001-0546-41 | J9305 | BluePoint Laboratories | 1 | 100 |
| 70069-0834-01 | J9305 | Somerset Pharma, LLC | 1 | 10 |
| 70069-0835-01 | J9305 | Somerset Pharma, LLC | 1 | 50 |
| 70710-1654-01 | J9305 | Zydus Pharmaceuticals (USA) Inc. | 1 | 10 |
| 70710-1655-01 | J9305 | Zydus Pharmaceuticals (USA) Inc. | 1 | 50 |
| 70710-1674-01 | J9305 | Zydus Pharmaceuticals (USA) Inc. | 1 | 100 |
| 70860-0202-10 | J9305 | Athenex Pharmaceutical Division, LLC | 1 | 10 |
| 70860-0203-50 | J9305 | Athenex Pharmaceutical Division, LLC | 1 | 50 |
| 71288-0147-50 | J9305 | Meitheal Pharmaceuticals Inc. | 1 | 75 |
| 71288-0148-51 | J9305 | Meitheal Pharmaceuticals Inc. | 1 | 100 |
| 71288-0166-10 | J9305 | Meitheal Pharmaceuticals Inc. | 1 | 10 |
| 71288-0166-91 | J9305 | Meitheal Pharmaceuticals Inc. | 1 | 10 |
| 71288-0166-92 | J9305 | Meitheal Pharmaceuticals Inc. | 1 | 10 |
| 71288-0167-50 | J9305 | Meitheal Pharmaceuticals Inc. | 1 | 50 |
| 71288-0167-95 | J9305 | Meitheal Pharmaceuticals Inc. | 1 | 50 |
| 71288-0167-96 | J9305 | Meitheal Pharmaceuticals Inc. | 1 | 50 |
| 72603-0325-01 | J9305 | Northstar RxLLC | 1 | 10 |
| 72603-0425-01 | J9305 | Northstar RxLLC | 1 | 50 |
| 00480-4514-01 | J9314 | Teva Pharmaceuticals USA, Inc. | 20 | 50 |
| 00480-4515-01 | J9314 | Teva Pharmaceuticals USA, Inc. | 40 | 100 |
| 00480-4516-01 | J9314 | Teva Pharmaceuticals USA, Inc. | 4 | 10 |
Pemetrexed: common questions
- What is the J-code for Pemetrexed?
- CMS assigns Pemetrexed NDCs to 4 HCPCS codes: J9294 (per 10 mg), J9297 (per 10 mg), J9305 (per 10 mg), J9314 (per 10 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J9294 billing units are in a package of Pemetrexed?
- CMS lists 10 to 100 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.
- How many J9297 billing units are in a package of Pemetrexed?
- CMS lists 10 to 50 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.
- How many J9305 billing units are in a package of Pemetrexed?
- CMS lists 10 to 100 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.
- How many J9314 billing units are in a package of Pemetrexed?
- CMS lists 10 to 100 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 J9294 a CPT code?
- No. J9294 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.
Other codes for the same drug
- J9292Injection, pemetrexed dipotassium, 10 mg
- J9296Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg
- J9304Injection, pemetrexed (pemfexy), 10 mg
- J9322Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg
- J9323Injection, pemetrexed ditromethamine, 10 mg
- J9324Injection, pemetrexed (pemrydi rtu), 10 mg