ADRIAMYCIN J Code: J9000
Injection, doxorubicin hydrochloride, 10 mg
Q4 2026 Medicare Payment Limit for J9000, effective October 1, 2026: $3.12 per HCPCS billing unit, up 15.1% from $2.71. From CMS's final file.
Drug & Product Overview
About ADRIAMYCIN
Adriamycin is a medication aligned to the HCPCS J Code: J9000 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by multiple companies.
According to CMS Drug Use Information: Doxorubicin is an anthracycline type of chemotherapy that is used to treat several different types of cancer. Doxorubicin works by slowing or stopping the growth of cancer cells.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
Based on publicly available CMS files. Showing 5 of 46 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00069-0255-10 | Doxorubicin Hydrochloride | Pfizer Laboratories Div Pfizer Inc | 2 | 20 MG / 10 ML |
| 00069-3030-20 | Doxorubicin HCl | Pfizer Inc | 1 | 2 MG |
| 00143-9084-01 | Doxorubicin Hydrochloride | Hikma Pharmaceuticals USA Inc. | 1 | 10 MG / 5 ML |
| 16714-0001-01 | Doxorubicin HCl | Northstar RxLLC | 20 | 2 MG |
| 25021-0207-05 | Doxorubicin HCl | Sagent Pharmaceuticals | 10 | 10 MG / 5 ML |
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ADRIAMYCIN Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →ADRIAMYCIN Claims Performance
Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore J9000 claims analytics on FocalPoint →
ADRIAMYCIN CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Adriamycin (J9000) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9000. Wastage billing guide →
ADRIAMYCIN Medically Unlikely Edits (MUE)
The most billing units of J9000 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
ADRIAMYCIN Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
Is there an available Adriamycin billing and coding guide?
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Does billing ADRIAMYCIN require JZ/JW wastage modifiers?
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