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
HCPCS codeJ9325
Billing unitSee descriptor
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 file
Payment limit per unit$77.657
Per1 million pfu
Coinsurance18.53%

Effective 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.

NDCs assigned to J9325 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Imlygic55513-0078-01Amgen Inc11
Imlygic55513-0079-01Amgen Inc1100

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.

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