J2506HCPCS Level II

Injection, pegfilgrastim, 0.5 mg

Colony Stimulating Factor

The answer

J2506 is injection, pegfilgrastim, 0.5 mg, billed at 0.5 mg = 1 Unit. It covers Neulasta (Pegfilgrastim).

Code detail

Code: J2506
Code set: HCPCS Level II, maintained by CMS
Descriptor: Injection, pegfilgrastim, 0.5 mg
Billable unit: 0.5 mg = 1 Unit
Category: Colony Stimulating Factor

Dose to units calculation

The quantity reported on the claim is the dose divided by the code’s billable unit.

Interactive Unit Multiplier Calculator

J2506

Calculate the exact number of billable HCPCS units to report on CMS-1500 / 837P claims based on the patient dose and single-dose vial waste.

Administered Patient Dose

Units to report on claim:

200 Units

Based on 0.5 mg = 1 billable unit (200.0 exact)

Box 24 / HCPCS Quantity Formatted Line:J2506 UN200

Common Worked Examples:

Worked unit conversions for J2506
Dose administered	Billable unit	Units to report
50 mg	0.5 mg = 1 Unit	100
100 mg	0.5 mg = 1 Unit	200
200 mg	0.5 mg = 1 Unit	400
400 mg	0.5 mg = 1 Unit	800
1000 mg	0.5 mg = 1 Unit	2000

Rounding and partial-unit rules vary by payer. Where a dose does not divide evenly, most payers expect the units actually administered plus a separate JW modifier line for the discarded remainder.

Drugs billed under J2506

1 brand name and 1 generic map to this code.

Brand

Neulasta

Injection, pegfilgrastim, 0.5 mg

Billing detail

Generic

Pegfilgrastim

Injection, pegfilgrastim, 0.5 mg

Billing detail

Next steps

Find the NDCs for Pegfilgrastim

FDA drug records with packaging, strengths and the 11-digit HIPAA conversion already applied.

Search the directory

Convert the NDC for the claim

The three leading-zero rules that turn an FDA 10-digit code into the 11-digit form this claim line needs.

Open the guide

Terms used on this page

Billable unitThe quantity denominator built into a HCPCS drug code, which converts an administered dose into the number reported on the claim.Definition J-codeA HCPCS Level II code beginning with J that identifies a drug administered by a clinician rather than self-administered.Definition NDC quantityThe amount of drug actually taken from the package, expressed in the unit named by the unit qualifier.Definition JW modifierReports the amount of a single-dose container that was discarded rather than administered.Definition

HCPCS Level II is updated quarterly by CMS. Verify J2506 against the current release before submitting a high-value claim.