Home Drug Codes J Codes J9030 · BCG (TICE STRAIN)
Updated July 1st, 2026

BCG (TICE STRAIN) J Code: J9030

Bcg live intravesical instillation, 1 mg

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Q4 2026 Medicare Payment Limit for J9030, effective October 1, 2026: $3.532 per HCPCS billing unit, up 4.6% from $3.376. From CMS's final file.

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Medicare Payment Limit ?
$3.376
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$3.376
/ HCPCS billing unit · APC 9322
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Bcg live intravesical instillation, 1 mg
HCPCS Added Date July 1, 2019
Manufacturer Merck Sharp & Dohme Corp
Route of Administration Intravesical
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Powder, For Suspension

About BCG (TICE STRAIN)

BCG (tice Strain) is a medication aligned to the HCPCS J Code: J9030 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravesical route and manufactured by Merck Sharp & Dohme Corp.

According to CMS Drug Use Information: This medication is used to treat or prevent certain types of bladder cancer. This medication works by causing the body's defense system (immune system) to become more active. This form of the medication is not used to prevent tuberculosis.

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00052-0602-02 Tice Bcg Merck Sharp & Dohme LLC 50 50 MG / 50 ML
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BCG (TICE STRAIN) Pricing & Reimbursement

J9030 Private Payer Reimbursement
$3.33 / 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

BCG (TICE STRAIN) 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
JW / JZ modifiers apply

CMS has identified BCG (tice Strain) (J9030) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

BCG (TICE STRAIN) Medically Unlikely Edits (MUE)

The most billing units of J9030 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
50 units / day
= 50 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.

BCG (TICE STRAIN) 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.

Carcinoma in situ (CIS) of the urinary bladder Prophylaxis of primary or recurrent stage Ta and/or T1 papillary tumors following transurethral resection (TUR)
Drug Class
Actively Acquired Immunity [PE]BCG Vaccine [CS]Increased Immunologically Active Molecule Activity [PE]Increased Macrophage Proliferation [PE]Live Attenuated Bacillus Calmette-Guerin Immunotherapy [EPC]Live Attenuated Bacillus Calmette-Guerin Vaccine [EPC]VaccinesAttenuated [CS]

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Frequently Asked Questions

Is there an available Bcg (Tice Strain) billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for BCG (TICE STRAIN).
Are there any available Bcg (Tice Strain) patient assistance programs?
BCG (TICE STRAIN) patient assistance information can be found through Merck Sharp & Dohme Corp. Visit Here →
Where can I find Bcg (Tice Strain) prescribing information?
BCG (TICE STRAIN) prescribing information can be found at the link below: Visit Here →
Where can I find Bcg (Tice Strain) side effect information?
Our team has not yet identified a source of side effects information for BCG (TICE STRAIN). Please check back in a few weeks.
Does billing BCG (TICE STRAIN) require JZ/JW wastage modifiers?
CMS has identified BCG (TICE STRAIN)(J9030) 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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