In short

J9028 is the HCPCS Level II code for injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram. CMS assigns NDCs for Anktiva to it. One billing unit is 1 microgram. The Medicare Part B payment limit is $94.139 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ9028
Billing unit1 microgram
Descriptor
Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram
Short descriptor
Inj, nogapendekin pmln, 1mcg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2025

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$94.139
Per1 mcg
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

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

Enter the units to build the claim line.

NDCs billed under J9028

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 1 NDC to J9028 for Anktiva. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9028 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Anktiva81481-0803-01Altor BioScience, LLC0.4400

J9028: common questions

Is J9028 a CPT code?
No. J9028 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 J9028?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J9028, for Anktiva. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9028?
$94.139 per 1 mcg, 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 J9028?
One unit of J9028 is 1 microgram, as stated in the code's descriptor. Units to report = dose given ÷ 1 microgram. J-code billing units.

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