Home › Drug Codes › J Codes › J9052 · CARMUSTINE
Updated October 1st, 2026

CARMUSTINE J Code: J9052

Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q4 2026
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
No current ASP
Not available for Q4 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg
HCPCS Added Date January 1, 2024
Manufacturer ACCORD HEALTHCARE
Route of Administration Intravenous
Generic Status Single-Source; Branded

About CARMUSTINE

Carmustine is a medication aligned to the HCPCS J Code: J9052 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the intravenous route and manufactured by ACCORD HEALTHCARE.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to J9052. Package detail is available to logged-in subscribers.

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CARMUSTINE Pricing & Reimbursement

J9052 Private Payer Reimbursement
$254.14 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Carmustine 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J9050 Generic Code (Multiple Manufacturers) Carmustine Injection, carmustine, 100 mg
J9052 Accord Carmustine Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg

CARMUSTINE 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)
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

CARMUSTINE Medically Unlikely Edits (MUE)

The most billing units of J9052 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 100 mg.

Practitioner Office & Hospital Outpatient
6 units / day
= 600 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.

CARMUSTINE 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.

Brain tumors (glioblastoma, brainstem glioma, medulloblastoma, astrocytoma, ependymoma, metastatic brain tumors) Multiple myeloma (with prednisone) Relapsed or refractory Hodgkin’s lymphoma (with other approved drugs) Relapsed or refractory non-Hodgkin’s lymphomas (with other approved drugs) Newly diagnosed high-grade glioma as an adjunct to surgery and radiation (carmustine implant/GLIADEL Wafer) Recurrent glioblastoma as an adjunct to surgery (carmustine implant/GLIADEL Wafer)

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Frequently Asked Questions

Is there an available Carmustine billing and coding guide?
We have not yet identified a manufacturer source of Carmustine billing and coding information.
Are there any available Carmustine patient assistance programs?
Our team did not identify a source for Carmustine patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Carmustine prescribing information?
CARMUSTINE prescribing information can be found at the link below: Visit Here →
Where can I find Carmustine side effect information?
Information regarding CARMUSTINE's side effects can be found at MedlinePlus Visit Here →
Does billing CARMUSTINE require JZ/JW wastage modifiers?
CMS does not include CARMUSTINE (J9052) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9052. For more information, visit the link below.

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