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HCPCS code J9025: Azacitidine injection, per 1 mg2026 Medicare rate & RVUs

Reports injectable azacitidine given in cancer treatment, with each HCPCS unit representing 1 mg of the drug administered.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9025

Azacitidine injection, per 1 mg

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for J9025 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What J9025 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What J9025 covers

Azacitidine is an antineoplastic drug used in treatment of myelodysplastic syndromes and certain cases of acute myeloid leukemia. Oncology practices and hospital-based cancer services report this drug code for azacitidine administered by subcutaneous injection or intravenous infusion. The code identifies the drug, not the route or the administration service.

Medicare assigns this code physician fee schedule status E, meaning it is excluded from the physician fee schedule. When Medicare covers the drug, it is treated as a Part B drug and generally priced using CMS quarterly Average Sales Price drug files; coverage is left to the Medicare contractor. Report the amount administered in 1 mg units: for example, 100 mg corresponds to 100 units. Report the applicable drug-administration service separately when appropriate.

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 J9025 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

J9025 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

J9025 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
J9025 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the J9025 rate is calculated

Each of J9025’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 · J9025

RVUs × geographic indexes × conversion factor

Office or facility?

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 J9025

J9025 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 · J9025

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

J9025 isn’t priced in this setting.

J9025 compared with similar codes

Compare codes · National

J9025 vs J0894 vs J9026: Medicare rates

Office or facility?

  • J9025

    Azacitidine injection, per 1 mg0 wRVU

    Not priced

  • J0894

    Decitabine injection, per 1 mg0 wRVU

    Not priced

  • J9026

    Tarlatamab injection, per 1 mg0 wRVU

    Not priced

How to choose

J0894Decitabine injectionPer 1 mg
J0894 identifies decitabine, not azacitidine. Use J9025 for azacitidine actually administered and J0894 for decitabine.
J9026Tarlatamab injectionPer 1 mg
J9026 identifies tarlatamab-dlle, a different antineoplastic drug. The neighboring code number does not indicate an azacitidine formulation or dose.

Codes related to J9025

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to J9025
CodeHow it relatesNational office range
Used instead
J0894Decitabine injection, per 1 mgDecitabine is a different injectable antineoplastic used in related hematologic cancer treatment settings.No office rate
Often billed with
96401Chemotherapy injection, subcutaneous or intramuscular, nonhormonalMay report subcutaneous antineoplastic administration when that route and service apply.$62.22–$100.01
96413Chemo IV infusion, initial drug, first hourMay report initial chemotherapy infusion administration when azacitidine is infused intravenously.$114.99–$186.95

J9025 billing questions

How many units should be reported?

Each unit represents 1 mg of azacitidine. Calculate units from the amount administered in milligrams.

Does this code include drug administration?

No. J9025 identifies the azacitidine drug; report an applicable administration service separately when appropriate.

How is J9025 different from decitabine code J0894?

J9025 is azacitidine, while J0894 is decitabine. Select the code for the drug actually administered; they are distinct agents, not interchangeable drug codes.

Does Medicare pay J9025 under the physician fee schedule?

No. CMS assigns status E, excluding it from the physician fee schedule. When covered, Medicare generally pays it as a Part B drug using the applicable CMS quarterly ASP pricing file.

Who determines whether Medicare covers azacitidine?

Coverage is left to the Medicare contractor's judgment.

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

Open CMS sourceHow we calculate rates

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