Home Drug Codes J Codes J9206 · CAMPTOSAR
Updated July 1st, 2026

CAMPTOSAR J Code: J9206

Injection, irinotecan, 20 mg

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Q4 2026 Medicare Payment Limit for J9206, effective October 1, 2026: $1.569 per HCPCS billing unit, down 15.2% from $1.851. From CMS's final file.

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Medicare Payment Limit ?
$1.851
/ 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 ?
36
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Drug & Product Overview

HCPCS Descriptor Injection, irinotecan, 20 mg
HCPCS Added Date January 1, 1998
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution | Not Available

About CAMPTOSAR

Camptosar is a medication aligned to the HCPCS J Code: J9206 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: This medication is used to treat cancer of the colon and rectum.

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 36 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00009-0082-02 Camptosar Pharmacia & Upjohn Company LLC 15 300 MG / 15 ML
00009-7529-03 Camptosar Pfizer Inc 5 100 MG / 5 ML
00143-9701-01 Irinotecan Hydrochloride Hikma Pharmaceuticals USA Inc. 5 100 MG / 5 ML
16714-0027-01 Irinotecan hydrochloride Northstar Rx LLC 2 40 MG / 2 ML
25021-0230-02 Irinotecan Hydrochloride Sagent Pharmaceuticals 2 40 MG / 2 ML
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CAMPTOSAR
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CAMPTOSAR Pricing & Reimbursement

J9206 Private Payer Reimbursement
$1.63 / 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

CAMPTOSAR Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 11.09%
Avg. Days to File 11.8days
Avg. Days to Pay 26.5days

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

Explore J9206 claims analytics on FocalPoint →
OnPoint Oncology

CAMPTOSAR 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 Camptosar (J9206) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

CAMPTOSAR Medically Unlikely Edits (MUE)

The most billing units of J9206 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 20 mg.

Practitioner Office & Hospital Outpatient
42 units / day
= 840 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.

CAMPTOSAR 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.

Metastatic carcinoma of the colon or rectum
Drug Class
Topoisomerase Inhibitor [EPC]Topoisomerase Inhibitors [MoA]

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Frequently Asked Questions

Is there an available Camptosar billing and coding guide?
We have not yet identified a manufacturer source of Camptosar billing and coding information.
Are there any available Camptosar patient assistance programs?
Our team did not identify a source for Camptosar patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Camptosar prescribing information?
CAMPTOSAR 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 Camptosar side effect information?
Our team has not yet identified a source of side effects information for CAMPTOSAR. Please check back in a few weeks.
Does billing CAMPTOSAR require JZ/JW wastage modifiers?
CMS has identified CAMPTOSAR(J9206) 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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