No. J9269 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.

What NDCs are billed under J9269?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J9269, for Elzonris. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J9269?

$357.292 per 10 mcg, 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 J9269?

One unit of J9269 is 10 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 10 micrograms.

J9269 J-Code: Elzonris (tagraxofusp-erzs) — Billing Units

In short

J9269 is the HCPCS Level II code for injection, tagraxofusp-erzs, 10 micrograms. CMS assigns NDCs for Elzonris to it. One billing unit is 10 micrograms. The Medicare Part B payment limit is $357.292 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ9269

Billing unit10 micrograms

Descriptor: Injection, tagraxofusp-erzs, 10 micrograms
Short descriptor: Inj. tagraxofusp-erzs 10 mcg
Code set: HCPCS Level II, maintained by CMS
Effective: Oct 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$357.292

Per10 mcg

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

Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

HCPCS units

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the units to build the claim line.

NDCs billed under J9269

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 1 NDC to J9269 for Elzonris. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9269 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Elzonris	72187-0401-01	Stemline Therapeutics, Inc.	1	100

J9269: common questions

Is J9269 a CPT code?: No. J9269 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 J9269?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J9269, for Elzonris. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9269?: $357.292 per 10 mcg, 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 J9269?: One unit of J9269 is 10 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 10 micrograms. J-code billing units.

J9269 — Injection, tagraxofusp-erzs, 10 micrograms