Home Drug Codes J Codes J0594 · BUSULFAN
Updated July 1st, 2026

BUSULFAN J Code: J0594

injection, busulfan, 1 mg

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Q4 2026 Medicare Payment Limit for J0594, effective October 1, 2026: $0.839 per HCPCS billing unit, down 18.8% from $1.033. From CMS's final file.

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Medicare Payment Limit ?
$1.033
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$1.033
/ HCPCS billing unit · APC 1178
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
10
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Drug & Product Overview

HCPCS Descriptor injection, busulfan, 1 mg
HCPCS Added Date January 1, 2007
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution | Injection, Solution, Concentrate | Not Available

About BUSULFAN

Busulfan is a medication aligned to the HCPCS J Code: J0594 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: Busulfan is used as a pretreatment for patients who are undergoing stem cell transplant for chronic myelogenous leukemia (CML).

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 10 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00409-1112-01 Busulfan Hospira, Inc. 480 60 MG / 10 ML
16729-0351-92 Busulfan Accord Healthcare, Inc 480 60 MG / 10 ML
25021-0241-10 Busulfan Sagent Pharmaceuticals 480 60 MG / 10 ML
59148-0070-91 Busulfan Otsuka America Pharmaceuticals Inc. 480 60 MG / 10 ML
67457-0893-08 Busulfan Mylan Institutional LLC 480 6 MG
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BUSULFAN Pricing & Reimbursement

J0594 Private Payer Reimbursement
$0.94 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

BUSULFAN Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 26.67%
Avg. Days to File 7.8days
Avg. Days to Pay 23.9days

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

Explore J0594 claims analytics on FocalPoint →
OnPoint Oncology

BUSULFAN 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)
JW / JZ modifiers apply

CMS has identified Busulfan (J0594) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

BUSULFAN Medically Unlikely Edits (MUE)

The most billing units of J0594 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
320 units / day
= 320 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.

BUSULFAN 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.

Chronic Myelogenous Leukemia Chronic myelogenous leukemia
Drug Class
Alkylating Activity [MoA]Alkylating Drug [EPC]

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Frequently Asked Questions

Is there an available Busulfan billing and coding guide?
We have not yet identified a manufacturer source of Busulfan billing and coding information.
Are there any available Busulfan patient assistance programs?
Our team did not identify a source for Busulfan patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Busulfan prescribing information?
BUSULFAN 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 Busulfan side effect information?
Our team has not yet identified a source of side effects information for BUSULFAN. Please check back in a few weeks.
Does billing BUSULFAN require JZ/JW wastage modifiers?
CMS has identified BUSULFAN(J0594) 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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