In short

J9206 is the HCPCS Level II code for injection, irinotecan, 20 mg. CMS assigns NDCs for Camptosar and Irinotecan HCl to it. One billing unit is 20 mg. The Medicare Part B payment limit is $1.569 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ9206
Billing unit20 mg
Descriptor
Injection, irinotecan, 20 mg
Short descriptor
Irinotecan 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$1.569
Per20 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: AMP-based payment limit. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Units and claim line

Units = dose given ÷ 20 mg. For example, 2000 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 J9206

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 31 NDCs to J9206 for Camptosar and Irinotecan HCl. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9206 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Camptosar00009-0082-02Pfizer Inc1515
Camptosar00009-0112-05Pfizer Inc55
Camptosar00009-7529-03Pfizer Inc55
Camptosar00009-7529-04Pfizer Inc22
Camptosar00009-7529-05Pfizer Inc1515
Camptosar00009-7529-10Pfizer Inc22
Irinotecan HCl00143-9701-01Hikma Pharmaceuticals USA Inc.55
Irinotecan HCl00143-9702-01Hikma Pharmaceuticals USA Inc.22
Irinotecan HCl16714-0027-01Northstar RxLLC22
Irinotecan HCl16714-0131-01Northstar RxLLC55
Irinotecan HCl25021-0230-02Sagent Pharmaceuticals22
Irinotecan HCl25021-0230-05Sagent Pharmaceuticals55
Irinotecan HCl45963-0614-51Actavis Pharma, Inc.22
Irinotecan HCl45963-0614-55Actavis Pharma, Inc.55
Irinotecan HCl50742-0401-02Ingenus Pharmaceuticals LLC22
Irinotecan HCl50742-0402-05Ingenus Pharmaceuticals LLC55
Irinotecan HCl55150-0352-01Eugia US LLC22
Irinotecan HCl55150-0353-01Eugia US LLC55
Irinotecan HCl55150-0354-01Eugia US LLC1515
Irinotecan HCl60505-6128-00Apotex Corp22
Irinotecan HCl60505-6128-01Apotex Corp55
Irinotecan HCl60505-6272-01Apotex Corp55
Irinotecan HCl61703-0349-09Pfizer Inc55
Irinotecan HCl61703-0349-16Pfizer Inc22
Irinotecan HCl61703-0349-36Pfizer Inc2525
Irinotecan HCl63323-0193-52FreseniUS Kabi USA, LLC22
Irinotecan HCl63323-0193-55FreseniUS Kabi USA, LLC55
Irinotecan HCl68001-0480-22BluePoint Laboratories55
Irinotecan HCl68001-0480-35BluePoint Laboratories22
Irinotecan HCl70700-0169-22Xiromed, LLC22
Irinotecan HCl70700-0170-22Xiromed, LLC55

J9206: common questions

Is J9206 a CPT code?
No. J9206 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 J9206?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 31 NDCs under J9206, for Camptosar and Irinotecan HCl. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9206?
$1.569 per 20 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 J9206?
One unit of J9206 is 20 mg, as stated in the code's descriptor. Units to report = dose given ÷ 20 mg. J-code billing units.

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