Home Drug Codes J Codes J9025 · Azacitidine
Updated July 1st, 2026

Azacitidine J Code: J9025

Injection, azacitidine, 1 mg

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Q4 2026 Medicare Payment Limit for J9025, effective October 1, 2026: $0.269 per HCPCS billing unit, down 32.9% from $0.401. From CMS's final file.

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Medicare Payment Limit ?
$0.401
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
23
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Drug & Product Overview

HCPCS Descriptor Injection, azacitidine, 1 mg
HCPCS Added Date January 1, 2006
Manufacturer Multiple Manufacturers
Route of Administration Intravenous, Subcutaneous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution | Not Available

About Azacitidine

Azacitidine is a medication aligned to the HCPCS J Code: J9025 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the intravenous or subcutaneous routes and manufactured by multiple companies.

According to CMS Drug Use Information: This medication is used to treat certain types of blood cancers in which the bone marrow does not produce enough healthy blood cells. People with these disorders usually have problems such as infections, anemia, and easy bleeding/bruising. Azacitidine works by helping your bone marrow make healthy blood cells. It also kills abnormal blood cells that have grown too fast and do not work properly. This form of azacitidine should not be used in place of the form taken by mouth.

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 23 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00143-9606-01 Azacitidine Hikma Pharmaceuticals USA Inc. 100 100 MG
00781-3253-94 Azacitidine Sandoz Inc. 100 100 MG
00781-3491-94 Azacitidine Sandoz Inc 100 100 MG
16714-0927-01 Azacitidine NorthStar RxLLC 100 100 MG
16729-0306-10 Azacitidine Accord Healthcare Inc. 100 100 MG
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Azacitidine
Azacitidine
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Azacitidine Pricing & Reimbursement

J9025 Private Payer Reimbursement
$0.90 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Azacitidine 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J9025 Generic Code (Multiple Manufacturers) Azacitidine Injection, azacitidine, 1 mg

Azacitidine Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 6.05%
Avg. Days to File 5.8days
Avg. Days to Pay 21.4days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J9025 claims analytics on FocalPoint →
OnPoint Oncology

Azacitidine 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
96401 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Login for More Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) Login for More
JW / JZ modifiers apply

CMS has identified Azacitidine (J9025) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

Azacitidine Medically Unlikely Edits (MUE)

The most billing units of J9025 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
300 units / day
= 300 mg per day

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

Azacitidine Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Juvenile Myelomonocytic Leukemia (JMML) Myelodysplastic Syndromes Myelodysplastic Syndromes (MDS)
Drug Class
Nucleic Acid Synthesis Inhibitors [MoA]Nucleoside Metabolic Inhibitor [EPC]

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Frequently Asked Questions

Is there an available Azacitidine billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Azacitidine.
Are there any available Azacitidine patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for Azacitidine.
Where can I find Azacitidine prescribing information?
Azacitidine prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Azacitidine side effect information?
Our team has not yet identified a source of side effects information for Azacitidine. Please check back in a few weeks.
Does billing Azacitidine require JZ/JW wastage modifiers?
CMS has identified Azacitidine(J9025) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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