In short

J9211 is the HCPCS Level II code for injection, idarubicin hydrochloride, 5 mg. CMS assigns NDCs for Idamycin Pfs, Idarubicin and Idarubicin HCl to it. One billing unit is 5 mg. The Medicare Part B payment limit is $33.394 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ9211
Billing unit5 mg
Descriptor
Injection, idarubicin hydrochloride, 5 mg
Short descriptor
Idarubicin hcl injection
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2019

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$33.394
Per5 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 ÷ 5 mg. For example, 500 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 J9211

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 15 NDCs to J9211 for Idamycin Pfs, Idarubicin and Idarubicin HCl. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9211 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Idamycin Pfs00013-2576-05Pfizer Inc51
Idamycin Pfs00013-2576-91Pfizer Inc51
Idamycin Pfs00013-2586-10Pfizer Inc102
Idamycin Pfs00013-2586-91Pfizer Inc102
Idamycin Pfs00013-2596-20Pfizer Inc204
Idamycin Pfs00013-2596-91Pfizer Inc204
Idarubicin00143-9217-01Hikma Pharmaceuticals USA Inc.51
Idarubicin00143-9218-01Hikma Pharmaceuticals USA Inc.102
Idarubicin00143-9219-01Hikma Pharmaceuticals USA Inc.204
Idarubicin00143-9306-01Hikma Pharmaceuticals USA Inc.51
Idarubicin00143-9307-01Hikma Pharmaceuticals USA Inc.102
Idarubicin00143-9308-01Hikma Pharmaceuticals USA Inc.204
Idarubicin HCl71288-0184-05Meitheal Pharmaceuticals Inc.51
Idarubicin HCl71288-0185-10Meitheal Pharmaceuticals Inc.102
Idarubicin HCl71288-0186-20Meitheal Pharmaceuticals Inc.204

J9211: common questions

Is J9211 a CPT code?
No. J9211 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 J9211?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 15 NDCs under J9211, for Idamycin Pfs, Idarubicin and Idarubicin HCl. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9211?
$33.394 per 5 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 J9211?
One unit of J9211 is 5 mg, as stated in the code's descriptor. Units to report = dose given ÷ 5 mg. J-code billing units.

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