ELZONRIS J Code: J9269

Drug & Product Overview

HCPCS Descriptor Injection, tagraxofusp-erzs, 10 micrograms

HCPCS Added Date October 1, 2019

Manufacturer Stemline Therapeutics

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Solution

About ELZONRIS

Elzonris is a medication aligned to the HCPCS J Code: J9269 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by Stemline Therapeutics.

According to CMS Drug Use Information: Drug uses not available

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
72187-0401-01	Elzonris	Stemline Therapeutics, Inc.	100	1000 MCG / 1 ML

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ELZONRIS Pricing & Reimbursement

J9269 Private Payer Reimbursement

$370.47 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 2026

ELZONRIS Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 31.19%

Avg. Days to File 4.8days

Avg. Days to Pay 20.1days

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

Explore J9269 claims analytics on FocalPoint →

ELZONRIS CPT Administration Codes

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 Elzonris (J9269) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ELZONRIS Medically Unlikely Edits (MUE)

The most billing units of J9269 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mcg.

Practitioner Office & Hospital Outpatient

200 units / day

= 2,000 mcg 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 →

ELZONRIS 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.

Blastic plasmacytoid dendritic cell neoplasm (BPDCN)

Drug Class

CD123 Interaction [EPC]CD123 Interactions [MoA]Cytotoxin [EPC]Cytotoxins [CS]

Frequently Asked Questions

Is there an available Elzonris billing and coding guide?

Billing and coding information for ELZONRIS can be found through Stemline Therapeutics. Visit Here →

Are there any available Elzonris patient assistance programs?

ELZONRIS patient assistance information can be found through Stemline Therapeutics. Visit Here →

Where can I find Elzonris prescribing information?

ELZONRIS prescribing information can be found at the link below: Visit Here →

Where can I find Elzonris side effect information?

Information regarding ELZONRIS's side effects can be found at MedlinePlus Visit Here →

Does billing ELZONRIS require JZ/JW wastage modifiers?

CMS has identified ELZONRIS(J9269) 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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