In short

J2562 is the HCPCS Level II code for injection, plerixafor, 1 mg. CMS assigns NDCs for Plerixafor to it. One billing unit is 1 mg. The Medicare Part B payment limit is $42.943 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ2562
Billing unit1 mg
Descriptor
Injection, plerixafor, 1 mg
Short descriptor
Plerixafor injection
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2010

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Medicare Part B payment limit

CMS ASP file
Payment 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

Units and claim line

Units = dose given ÷ 1 mg. For example, 100 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

NDCs billed under J2562

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 10 NDCs to J2562 for Plerixafor. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J2562 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Plerixafor00024-5862-01Sanofi-Aventis U.S. LLC1.224
Plerixafor00480-4320-01Teva Pharmaceuticals USA, Inc.1.224
Plerixafor25021-0416-01Sagent Pharmaceuticals1.224
Plerixafor43598-0308-23Dr. Reddy's Laboratories Inc.1.224
Plerixafor55150-0356-01Eugia US LLC1.224
Plerixafor65219-0284-12FreseniUS Kabi USA, LLC1.224
Plerixafor70121-1694-02Amneal Pharmaceuticals, LLC1.224
Plerixafor70710-1208-01Zydus Pharmaceuticals (USA) Inc.1.224
Plerixafor71288-0155-01Meitheal Pharmaceuticals Inc.1.224
Plerixafor72205-0249-01Novadoz Pharmaceuticals LLC1.224

J2562: common questions

Is J2562 a CPT code?
No. J2562 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDCs are billed under J2562?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 10 NDCs under J2562, for Plerixafor. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J2562?
$42.943 per 1 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
What is one billing unit of J2562?
One unit of J2562 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

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