HCPCS drug code · CMS crosswalk
Plerixafor J-Code / HCPCS Code
In short
Plerixafor is billed under HCPCS J2562 — Injection, plerixafor, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 10 Plerixafor NDCs under this code.
Reference
- J2562
- Injection, plerixafor, 1 mgBilling unit: 1 mg
- Labelers
- Amneal Pharmaceuticals, LLC; Dr. Reddy's Laboratories Inc.; Eugia US LLC; FreseniUS Kabi USA, LLC; Meitheal Pharmaceuticals Inc.; Novadoz Pharmaceuticals LLC; Sagent Pharmaceuticals; Sanofi-Aventis U.S. LLCand 2 more
Medicare Part B payment limit
CMS ASP filePayment limit per unit$42.943
Per1 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
Plerixafor units and claim line
Enter the dose given to get the J2562 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Plerixafor 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 |
|---|---|---|---|---|
| 00024-5862-01 | J2562 | Sanofi-Aventis U.S. LLC | 1.2 | 24 |
| 00480-4320-01 | J2562 | Teva Pharmaceuticals USA, Inc. | 1.2 | 24 |
| 25021-0416-01 | J2562 | Sagent Pharmaceuticals | 1.2 | 24 |
| 43598-0308-23 | J2562 | Dr. Reddy's Laboratories Inc. | 1.2 | 24 |
| 55150-0356-01 | J2562 | Eugia US LLC | 1.2 | 24 |
| 65219-0284-12 | J2562 | FreseniUS Kabi USA, LLC | 1.2 | 24 |
| 70121-1694-02 | J2562 | Amneal Pharmaceuticals, LLC | 1.2 | 24 |
| 70710-1208-01 | J2562 | Zydus Pharmaceuticals (USA) Inc. | 1.2 | 24 |
| 71288-0155-01 | J2562 | Meitheal Pharmaceuticals Inc. | 1.2 | 24 |
| 72205-0249-01 | J2562 | Novadoz Pharmaceuticals LLC | 1.2 | 24 |
Plerixafor: common questions
- What is the J-code for Plerixafor?
- Plerixafor is billed under HCPCS J2562 — Injection, plerixafor, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 10 Plerixafor NDCs under this code.
- How many J2562 billing units are in a package of Plerixafor?
- CMS lists 24 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 J2562 a CPT code?
- No. J2562 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.