J9258 was retired on Sep 30, 2024

CMS ended J9258 after Sep 30, 2024. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file
HCPCS codeJ9258
Billing unit1 mg
Descriptor
Injection, paclitaxel protein-bound particles (teva), not therapeutically equivalent to j9264, 1 mg
Short descriptor
Paclitaxel (teva)
Code set
HCPCS Level II, maintained by CMS
Effective
Oct 1, 2024

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Find the NDC

Med-Code hasn’t mapped J9258 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

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J9258: common questions

Is J9258 a CPT code?
No. J9258 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 is one billing unit of J9258?
One unit of J9258 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

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