HCPCS code J9000: Doxorubicin injection, per 10 mg2026 Medicare rate & RVUs in Maryland
J9000 reports conventional doxorubicin hydrochloride used in cancer chemotherapy, with each billing unit representing 10 mg of the drug.
CMS doesn’t publish an office rate for J9000 in Maryland.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What J9000 covers
J9000 identifies conventional doxorubicin hydrochloride, an injectable anthracycline chemotherapy drug. Oncology teams commonly administer it intravenously as part of treatment regimens for cancers such as breast cancer, lymphomas, leukemias, and sarcomas. The oncology practice, hospital outpatient department, or other entity supplying the drug reports the drug code; the administering clinician or facility reports the chemotherapy administration service when separately reportable.
CMS assigns J9000 physician fee schedule status E, excluding it from the physician fee schedule. When Medicare covers the drug, payment is under another payment method; CMS classifies it as a Part B drug that is generally priced from the quarterly Average Sales Price drug files. Special Medicare coverage instructions apply. One unit represents 10 mg of doxorubicin hydrochloride, so units reflect the administered dose in 10 mg increments. The drug code identifies the medication, not the infusion service.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where J9000 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | Unavailable |
| Rest of Maryland | Unavailable | Unavailable |
| Washington, DC area | Unavailable | Unavailable |
How the J9000 rate is calculated
Each of J9000’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · J9000
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for J9000
J9000 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · J9000
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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J9000 isn’t priced in this setting.
J9000 compared with similar codes
Compare codes · National
J9000 vs 96413 vs J9190: Medicare rates
How to choose
- 96413Chemo IV infusionInitial drug, first hour
- 96413 reports chemotherapy infusion administration, not the doxorubicin drug. J9000 identifies the medication supplied.
- J9190Fluorouracil injection500 mg per unit
- J9190 identifies fluorouracil, a different chemotherapy drug that may be used in combination regimens. J9000 identifies doxorubicin hydrochloride.
J9000 billing questions
How many milligrams does one J9000 unit represent?
One unit represents 10 mg of doxorubicin hydrochloride. Report units based on the administered dose.
How do I select J9000 for the formulation administered?
J9000 represents conventional doxorubicin hydrochloride. Select it when that is the formulation administered.
Does J9000 include chemotherapy infusion administration?
No. J9000 identifies the drug; report the chemotherapy administration service separately when performed and separately reportable.
How does Medicare treat J9000?
CMS assigns status E, excluding J9000 from the physician fee schedule. When covered, it is paid under another payment method and is generally priced as a Part B drug using quarterly ASP files.
Do special Medicare coverage instructions apply?
Yes. Special Medicare coverage instructions apply to J9000.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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