No. J9017 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.

What NDCs are billed under J9017?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 22 NDCs under J9017, for Arsenic Trioxide and Trisenox. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J9017?

$3.837 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 J9017?

One unit of J9017 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg.

J9017 J-Code: Trisenox (arsenic trioxide) — Billing Units

In short

J9017 is the HCPCS Level II code for injection, arsenic trioxide, 1 mg. CMS assigns NDCs for Arsenic Trioxide and Trisenox to it. One billing unit is 1 mg. The Medicare Part B payment limit is $3.837 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ9017

Billing unit1 mg

Descriptor: Injection, arsenic trioxide, 1 mg
Short descriptor: Arsenic trioxide injection
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 2009

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$3.837

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.

Dose given (mg)

HCPCS units (1 unit = 1 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

NDCs billed under J9017

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 22 NDCs to J9017 for Arsenic Trioxide and Trisenox. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9017 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Arsenic Trioxide	00781-3498-94	Sandoz Inc.	6	12
Arsenic Trioxide	00781-3498-95	Sandoz Inc.	10 × 6	120
Arsenic Trioxide	14789-0600-10	Nexus Pharmaceuticals, LLC	10 × 10	100
Arsenic Trioxide	23155-0869-41	Heritage Pharmaceuticals Inc.	10 × 10	100
Arsenic Trioxide	23155-0870-41	Heritage Pharmaceuticals Inc.	10 × 6	120
Arsenic Trioxide	25021-0226-10	Sagent Pharmaceuticals	10 × 10	100
Arsenic Trioxide	25021-0227-06	Sagent Pharmaceuticals	10 × 6	120
Arsenic Trioxide	50742-0438-10	Ingenus Pharmaceuticals LLC	10	10
Arsenic Trioxide	63323-0637-10	FreseniUS Kabi USA, LLC	10 × 10	100
Arsenic Trioxide	68382-0997-10	Zydus Pharmaceuticals (USA) Inc.	10 × 10	100
Arsenic Trioxide	69918-0720-02	Nordic Pharma, Inc	2 × 10	20
Arsenic Trioxide	69918-0720-10	Nordic Pharma, Inc	10 × 10	100
Arsenic Trioxide	70121-1483-07	Amneal Pharmaceuticals, LLC	10 × 10	100
Arsenic Trioxide	70121-1658-01	Amneal Pharmaceuticals, LLC	10 × 6	120
Arsenic Trioxide	70710-1610-06	Zydus Pharmaceuticals (USA) Inc.	10 × 6	120
Arsenic Trioxide	70710-1895-06	Zydus Pharmaceuticals (USA) Inc.	10 × 10	100
Arsenic Trioxide	70710-1896-06	Zydus Pharmaceuticals (USA) Inc.	10 × 6	120
Arsenic Trioxide	70860-0217-10	Athenex Pharmaceutical Division, LLC	10	10
Arsenic Trioxide	72205-0171-07	Novadoz Pharmaceuticals LLC	10 × 10	100
Arsenic Trioxide	72205-0172-07	Novadoz Pharmaceuticals LLC	10 × 6	120
Arsenic Trioxide	72603-0339-10	Northstar RxLLC	10 × 10	100
Trisenox	63459-0601-06	Cephalon, LLC	10 × 6	120

J9017: common questions

Is J9017 a CPT code?: No. J9017 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 J9017?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 22 NDCs under J9017, for Arsenic Trioxide and Trisenox. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9017?: $3.837 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 J9017?: One unit of J9017 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

J9017 — Injection, arsenic trioxide, 1 mg