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HCPCS code J9030: Intravesical BCG, per 1 mg2026 Medicare rate & RVUs

Reports live BCG placed in the bladder as immunotherapy for bladder cancer, with each HCPCS unit representing 1 mg of the drug.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9030

Intravesical BCG, 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 J9030 →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 J9030 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 J9030 covers

J9030 represents live bacillus Calmette-Guérin (BCG) prepared for placement directly into the bladder. Urologists commonly use intravesical BCG as immunotherapy for carcinoma in situ and other high-risk non-muscle-invasive bladder cancers, often after endoscopic tumor removal. The medication is delivered through a urinary catheter during an outpatient bladder instillation. J9030 identifies the drug; CPT 51720 describes the bladder-instilling service.

CMS assigns this code status E, excluding it from the physician fee schedule; when Medicare covers the drug, payment is through another method. HCPCS pricing classifies it as a Part B drug generally priced from CMS quarterly ASP drug files. Medicare coverage follows special coverage instructions. Each unit represents 1 mg of live intravesical BCG, so report units based on the milligrams administered. Keep the drug units distinct from the instillation service when both are reported.

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 J9030 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

J9030 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

J9030 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
J9030 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 J9030 rate is calculated

Each of J9030’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 · J9030

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 J9030

J9030 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 · J9030

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J9030 isn’t priced in this setting.

J9030 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J9030

    Intravesical BCG, per 1 mg0 wRVU

    Not priced

  • 51720

    Bladder instillation, antineoplastic agent0.85 wRVU

    $91.85

  • 90586

    Intravesical BCG, bladder cancer treatment0 wRVU

    Not priced

  • J9029

    Adstiladrin, per therapeutic dose0 wRVU

    Not priced

How to choose

51720Bladder instillationAntineoplastic agent
51720 reports the bladder instillation procedure; J9030 reports the BCG drug in 1 mg units.
90586Intravesical BCGBladder cancer treatment
CPT 90586 also reports BCG in 1 mg units; J9030 is the HCPCS Level II code for live intravesical BCG.
J9029AdstiladrinPer therapeutic dose
J9029 identifies Adstiladrin, a different intravesical bladder-cancer treatment, not live BCG.

Codes related to J9030

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

Codes related to J9030
CodeHow it relatesNational office range
Often billed with
51720Bladder instillation, antineoplastic agentDescribes the bladder instillation service commonly performed to administer intravesical BCG.$81.64–$119.70
Used instead
90586Intravesical BCG, bladder cancer treatmentCPT code for BCG used for bladder cancer; it also uses a 1 mg unit.No office rate
J9029Adstiladrin, per therapeutic doseAdstiladrin is another intravesical treatment for high-risk non-muscle-invasive bladder cancer.No office rate

J9030 billing questions

What does one unit of J9030 represent?

One unit represents 1 mg of live intravesical BCG. Calculate units from the milligrams administered.

Which code describes the bladder instillation service?

CPT 51720 describes bladder instillation of an anticarcinogenic agent. J9030 reports the BCG drug, not the catheter instillation service.

How does Medicare treat J9030?

CMS assigns status E, excluding J9030 from the physician fee schedule. When covered, it is treated as a Part B drug and generally priced through CMS quarterly ASP drug files; Medicare coverage follows special coverage instructions.

How should the drug units be supported?

Document the amount of BCG administered in milligrams and report the corresponding number of 1 mg units.

Is J9030 the same as CPT 90586?

Both identify intravesical BCG, and each uses a 1 mg unit. J9030 is an HCPCS Level II code; 90586 is a CPT code.

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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