Home Drug Codes J Codes J9043 · JEVTANA
Updated July 1st, 2026

JEVTANA J Code: J9043

Injection, cabazitaxel, 1 mg

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Q4 2026 Medicare Payment Limit for J9043, effective October 1, 2026: $231.688 per HCPCS billing unit, down 0.9% from $233.73. From CMS's final file.

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Medicare Payment Limit ?
$233.73
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$233.73
/ HCPCS billing unit · APC 9276
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, cabazitaxel, 1 mg
HCPCS Added Date January 1, 2012
Manufacturer Sanofi
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit

About JEVTANA

Jevtana is a medication aligned to the HCPCS J Code: J9043 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the intravenous route and manufactured by Sanofi.

According to CMS Drug Use Information: Cabazitaxel is used to treat prostate cancer. It works by slowing or stopping the growth of cancer cells.

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
00024-5824-11 Jevtana Sanofi-Aventis U.S. LLC 60 Kit
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JEVTANA Pricing & Reimbursement

J9043 Private Payer Reimbursement
$238.40 / 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

Cabazitaxel 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J9043 Sanofi Cabazitaxel Injection, cabazitaxel, 1 mg

JEVTANA Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 20.66%
Avg. Days to File 12.5days
Avg. Days to Pay 28.2days

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

Explore J9043 claims analytics on FocalPoint →
OnPoint Oncology

JEVTANA 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 Jevtana (J9043) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

JEVTANA Medically Unlikely Edits (MUE)

The most billing units of J9043 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
60 units / day
= 60 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.

JEVTANA 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 castration-resistant prostate cancer

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Frequently Asked Questions

Is there an available Jevtana billing and coding guide?
Billing and coding information for JEVTANA can be found through Sanofi. Visit Here →
Are there any available Jevtana patient assistance programs?
JEVTANA patient assistance information can be found through Sanofi. Visit Here →
Where can I find Jevtana prescribing information?
JEVTANA prescribing information can be found at the link below: Visit Here →
Where can I find Jevtana side effect information?
Information regarding JEVTANA's side effects can be found at MedlinePlus Visit Here →
Does billing JEVTANA require JZ/JW wastage modifiers?
CMS has identified JEVTANA(J9043) 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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