In short

J9185 is the HCPCS Level II code for injection, fludarabine phosphate, 50 mg. CMS assigns NDCs for Fludarabine Phosphate to it. One billing unit is 50 mg. The Medicare Part B payment limit is $177.924 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ9185
Billing unit50 mg
Descriptor
Injection, fludarabine phosphate, 50 mg
Short descriptor
Fludarabine phosphate inj
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2023

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$177.924
Per50 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 ÷ 50 mg. For example, 5000 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 J9185

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 5 NDCs to J9185 for Fludarabine Phosphate. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9185 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Fludarabine Phosphate24201-0237-01Hikma Pharmaceuticals USA Inc.11
Fludarabine Phosphate25021-0242-02Sagent Pharmaceuticals21
Fludarabine Phosphate45963-0609-55Actavis Pharma, Inc.11
Fludarabine Phosphate59923-0604-02Areva Pharmaceuticals21
Fludarabine Phosphate63323-0192-02FreseniUS Kabi USA, LLC11

J9185: common questions

Is J9185 a CPT code?
No. J9185 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 J9185?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 5 NDCs under J9185, for Fludarabine Phosphate. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9185?
$177.924 per 50 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 J9185?
One unit of J9185 is 50 mg, as stated in the code's descriptor. Units to report = dose given ÷ 50 mg. J-code billing units.

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