In short

Vivimusta is billed under HCPCS J9056 — Injection, bendamustine hydrochloride (vivimusta), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 2 Vivimusta NDCs under this code.

J9056 code details

Reference

J9056
Injection, bendamustine hydrochloride (vivimusta), 1 mgBilling unit: 1 mg
Labelers
Azurity Pharmaceuticals, Inc.; Slayback Pharma LLC

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$28.614
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

Vivimusta units and claim line

Enter the dose given to get the J9056 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Vivimusta 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.

Vivimusta NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
24338-0270-01J9056Azurity Pharmaceuticals, Inc.4100
71225-0120-01J9056Slayback Pharma LLC4100

Vivimusta: common questions

What is the J-code for Vivimusta?
Vivimusta is billed under HCPCS J9056 — Injection, bendamustine hydrochloride (vivimusta), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 2 Vivimusta NDCs under this code.
How many J9056 billing units are in a package of Vivimusta?
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 J9056 a CPT code?
No. J9056 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.

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