HCPCS Level II drug code
J9277 — Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph
In short
J9277 is the HCPCS Level II code for injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph. CMS assigns NDCs for Keytruda Qlex to it. One billing unit is 1 mg and berahyaluronidase alfa-pmph. The Medicare Part B payment limit is $32.307 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph
- Short descriptor
- Pembrolizumab 1mg berahyalur
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Apr 1, 2026
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Medicare Part B payment limit
CMS ASP fileEffective 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 ÷ 1 mg and berahyaluronidase alfa-pmph. For example, 100 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 J9277
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J9277 for Keytruda Qlex. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Keytruda Qlex | 00006-3083-01 | Merck Sharp & Dohme LLC | 2.4 | 395 |
| Keytruda Qlex | 00006-5083-01 | Merck Sharp & Dohme LLC | 4.8 | 790 |
J9277: common questions
- Is J9277 a CPT code?
- No. J9277 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 J9277?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J9277, for Keytruda Qlex. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J9277?
- $32.307 per 1 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 J9277?
- One unit of J9277 is 1 mg and berahyaluronidase alfa-pmph, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg and berahyaluronidase alfa-pmph. J-code billing units.