No. J9600 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 is one billing unit of J9600?

One unit of J9600 is 75 mg, as stated in the code's descriptor. Units to report = dose given ÷ 75 mg.

J9600 J-Code: Porfimer sodium — Billing Units & NDCs

In short

J9600 is the HCPCS Level II code for injection, porfimer sodium, 75 mg. One billing unit is 75 mg.

Code

CMS HCPCS file

HCPCS codeJ9600

Billing unit75 mg

Descriptor: Injection, porfimer sodium, 75 mg
Short descriptor: Porfimer sodium injection
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 2009

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Medicare Part B payment limit

CMS ASP file

Not payable under Part B this quarter. CMS lists J9600 among drugs whose manufacturer (Pinnacle Biologics, Inc.) has no Medicaid drug rebate agreement in effect.

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

Units = dose given ÷ 75 mg. For example, 7500 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Dose given (mg)

HCPCS units (1 unit = 75 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

Find the NDC

Med-Code hasn’t mapped J9600 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

Search NDCs for porfimer sodium

J9600: common questions

Is J9600 a CPT code?: No. J9600 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 is one billing unit of J9600?: One unit of J9600 is 75 mg, as stated in the code's descriptor. Units to report = dose given ÷ 75 mg. J-code billing units.

J9600 — Injection, porfimer sodium, 75 mg