Home Drug Codes J Codes J9040 · BLEOMYCIN SULFATE
Updated July 1st, 2026

BLEOMYCIN SULFATE J Code: J9040

Injection, bleomycin sulfate, 15 units

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Q4 2026 Medicare Payment Limit for J9040, effective October 1, 2026: $23.12 per HCPCS billing unit, down 6.9% from $24.838. From CMS's final file.

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Medicare Payment Limit ?
$24.838
/ 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 ?
12
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Drug & Product Overview

HCPCS Descriptor Injection, bleomycin sulfate, 15 units
HCPCS Added Date January 1, 1984
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular, Intrapleural, Intravenous, Subcutaneous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution | Powder, For Solution

About BLEOMYCIN SULFATE

Bleomycin Sulfate is a medication aligned to the HCPCS J Code: J9040 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the intramuscular, intrapleural, intravenous, or subcutaneous routes and manufactured by multiple companies.

According to CMS Drug Use Information: Bleomycin is used to treat cancer. It works by slowing or stopping the growth of cancer cells. This medication may also be used to control the build-up of fluid around the lungs (pleural effusion) caused by tumors that have spread to the lungs. For this condition, bleomycin is placed in the space around the lungs through a chest tube.

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 12 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00143-9240-01 Bleomycin Hikma Pharmaceuticals USA Inc. 1 Bleomycin Intramuscula r Injection 15 [… Login for More
00409-0323-20 Bleomycin Hospira, Inc. 2 Bleomycin Intramuscula r Injection 30 [… Login for More
16714-0886-01 Bleomycin NorthStar Rx LLC 1 Bleomycin Intramuscula r Powder 15 [USP… Login for More
63323-0136-10 Bleomycin Fresenius Kabi USA, LLC 1 Bleomycin Intramuscula r Injection 15 [… Login for More
71288-0106-10 Bleomycin Meitheal Pharmaceuticals Inc. 1 Bleomycin Intramuscula r Powder 15 [USP… Login for More
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BLEOMYCIN SULFATE
BLEOMYCIN SULFATE
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BLEOMYCIN SULFATE Pricing & Reimbursement

J9040 Private Payer Reimbursement
$29.96 / 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

BLEOMYCIN SULFATE Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 11.12%
Avg. Days to File 10.9days
Avg. Days to Pay 23.1days

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

Explore J9040 claims analytics on FocalPoint →
OnPoint Oncology

BLEOMYCIN SULFATE 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
96409 Chemotherapy administration; intravenous, push technique, single or initial substance/drug
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 Bleomycin Sulfate (J9040) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

BLEOMYCIN SULFATE Medically Unlikely Edits (MUE)

The most billing units of J9040 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 15 units.

Practitioner Office & Hospital Outpatient
4 units / day
= 60 units 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 →

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

BLEOMYCIN SULFATE 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.

Hodgkin's Disease Malignant Pleural Effusion Non-Hodgkin's Lymphoma Squamous Cell Carcinoma Testicular Carcinoma
Drug Class
Cytoprotective Agent [EPC]

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Frequently Asked Questions

Is there an available Bleomycin Sulfate billing and coding guide?
We have not yet identified a manufacturer source of Bleomycin Sulfate billing and coding information.
Are there any available Bleomycin Sulfate patient assistance programs?
Our team did not identify a source for Bleomycin Sulfate patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Bleomycin Sulfate prescribing information?
Our team is still working to identify a prescribing information source for BLEOMYCIN SULFATE
Where can I find Bleomycin Sulfate side effect information?
Our team has not yet identified a source of side effects information for BLEOMYCIN SULFATE. Please check back in a few weeks.
Does billing BLEOMYCIN SULFATE require JZ/JW wastage modifiers?
CMS has identified BLEOMYCIN SULFATE(J9040) 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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