Padcev J Code: J9177

Drug & Product Overview

HCPCS Descriptor Injection, enfortumab vedotin-ejfv, 0.25 mg

HCPCS Added Date July 1, 2020

Manufacturer Seagen

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution

About Padcev

Padcev is a medication aligned to the HCPCS J Code: J9177 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by Seagen.

According to CMS Drug Use Information: This medication is used to treat bladder and urinary tract 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
51144-0020-01	Padcev Ejfv	SEAGEN INC.	80	20 MG / 2 ML
51144-0030-01	Padcev Ejfv	SEAGEN INC.	120	30 MG / 3 ML

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Padcev Pricing & Reimbursement

J9177 Private Payer Reimbursement

$37.93 / 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 Q3 2026

Padcev Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 9.95%

Avg. Days to File 7.7days

Avg. Days to Pay 25.9days

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

Explore J9177 claims analytics on FocalPoint →

Padcev 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 Padcev (J9177) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

Padcev Medically Unlikely Edits (MUE)

The most billing units of J9177 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.25 mg.

Practitioner Office & Hospital Outpatient

520 units / day

= 130 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 →

Padcev 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.

Locally advanced or metastatic urothelial cancer (la/mUC) Muscle invasive bladder cancer (MIBC)

Frequently Asked Questions

Is there an available Padcev billing and coding guide?

Billing and coding information for Padcev can be found through Seattle Genetics. Visit Here →

Are there any available Padcev patient assistance programs?

Padcev patient assistance information can be found through Seattle Genetics. Visit Here →

Where can I find Padcev prescribing information?

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

Where can I find Padcev side effect information?

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

Does billing Padcev require JZ/JW wastage modifiers?

CMS has identified Padcev(J9177) 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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