In short

J9209 is the HCPCS Level II code for injection, mesna, 200 mg. CMS assigns NDCs for Mesna and Mesnex to it. One billing unit is 200 mg. The Medicare Part B payment limit is $1.203 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ9209
Billing unit200 mg
Descriptor
Injection, mesna, 200 mg
Short descriptor
Mesna 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$1.203
Per200 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 ÷ 200 mg. For example, 20000 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 J9209

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 7 NDCs to J9209 for Mesna and Mesnex. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9209 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Mesna00143-9260-01Hikma Pharmaceuticals USA Inc.105
Mesna10019-0953-01Baxter Healthcare Corporation105
Mesna25021-0201-10Sagent Pharmaceuticals105
Mesna25021-0201-11Sagent Pharmaceuticals10 × 1050
Mesna63323-0733-11FreseniUS Kabi USA, LLC105
Mesna70860-0209-10Athenex Pharmaceutical Division, LLC105
Mesnex00338-1305-01Baxter Healthcare Corporation105

J9209: common questions

Is J9209 a CPT code?
No. J9209 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 J9209?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 7 NDCs under J9209, for Mesna and Mesnex. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9209?
$1.203 per 200 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 J9209?
One unit of J9209 is 200 mg, as stated in the code's descriptor. Units to report = dose given ÷ 200 mg. J-code billing units.

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