HCPCS Level II drug code
J9325 — Injection, talimogene laherparepvec, per 1 million plaque forming units
In short
J9325 is the HCPCS Level II code for injection, talimogene laherparepvec, per 1 million plaque forming units. CMS assigns NDCs for Imlygic to it. The Medicare Part B payment limit is $77.657 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, talimogene laherparepvec, per 1 million plaque forming units
- Short descriptor
- Inj talimogene laherparepvec
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 2017
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. CMS note: Inflation-adjusted coinsurance. 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.
Enter the units to build the claim line.
NDCs billed under J9325
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J9325 for Imlygic. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Imlygic | 55513-0078-01 | Amgen Inc | 1 | 1 |
| Imlygic | 55513-0079-01 | Amgen Inc | 1 | 100 |
J9325: common questions
- Is J9325 a CPT code?
- No. J9325 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 J9325?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J9325, for Imlygic. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J9325?
- $77.657 per 1 million pfu, 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.