HCPCS Level II drug code
J9314 — Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg
In short
J9314 is the HCPCS Level II code for injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg. CMS assigns NDCs for Pemetrexed to it. One billing unit is 10 mg. The Medicare Part B payment limit is $10.986 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg
- Short descriptor
- Inj pemetrexed (teva) 10mg
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jul 1, 2024
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 ÷ 10 mg. For example, 1000 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 J9314
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 3 NDCs to J9314 for Pemetrexed. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Pemetrexed | 00480-4514-01 | Teva Pharmaceuticals USA, Inc. | 20 | 50 |
| Pemetrexed | 00480-4515-01 | Teva Pharmaceuticals USA, Inc. | 40 | 100 |
| Pemetrexed | 00480-4516-01 | Teva Pharmaceuticals USA, Inc. | 4 | 10 |
J9314: common questions
- Is J9314 a CPT code?
- No. J9314 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 J9314?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 3 NDCs under J9314, for Pemetrexed. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J9314?
- $10.986 per 10 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 J9314?
- One unit of J9314 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.