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HCPCS code J9040: Bleomycin injection, per 15 units2026 Medicare rate & RVUs

Bleomycin sulfate is an antineoplastic drug reported by oncology practices and facilities when they furnish it for cancer treatment or selected malignant pleural effusions.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9040

Bleomycin injection, per 15 units

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 J9040 →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 J9040 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 J9040 covers

Bleomycin sulfate is an antineoplastic medication used in treatment of cancers including Hodgkin lymphoma, testicular cancer, and certain squamous cell cancers. It may be administered by intravenous, intramuscular, subcutaneous, or intrapleural routes. Oncology clinicians and facilities report the drug when furnishing it as part of a cancer treatment regimen or for selected malignant pleural effusions.

J9040 represents 15 drug units of bleomycin sulfate, so calculate claim units from the administered dose using 15 drug units per HCPCS unit. CMS assigns physician fee schedule status E, excluding the code from the physician fee schedule. When Medicare covers the drug, payment is made under another payment method; CMS classifies it as a Part B drug generally priced through quarterly Average Sales Price files. Special Medicare coverage instructions apply.

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 J9040 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

J9040 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

J9040 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
J9040 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 J9040 rate is calculated

Each of J9040’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 · J9040

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 J9040

J9040 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 · J9040

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J9040 isn’t priced in this setting.

J9040 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J9040

    Bleomycin injection, per 15 units0 wRVU

    Not priced

  • J9041

    Bortezomib injection, per 0.1 mg0 wRVU

    Not priced

  • J9045

    Carboplatin, per 50 mg0 wRVU

    Not priced

  • J9050

    Carmustine injection, per 100 mg0 wRVU

    Not priced

How to choose

J9041Bortezomib injectionPer 0.1 mg
J9041 identifies bortezomib, not bleomycin sulfate. Choose according to the drug furnished.
J9045CarboplatinPer 50 mg
J9045 identifies carboplatin. It is not the code for bleomycin sulfate.
J9050Carmustine injectionPer 100 mg
J9050 identifies carmustine. Use J9040 for bleomycin sulfate instead.

Codes related to J9040

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

Codes related to J9040
CodeHow it relatesNational office range
Often billed with
96413Chemo IV infusion, initial drug, first hourMay accompany bleomycin given by intravenous infusion when the administration service meets the code definition.$114.99–$186.95
96401Chemotherapy injection, subcutaneous or intramuscular, nonhormonalMay accompany bleomycin administered by subcutaneous or intramuscular injection when applicable.$62.22–$100.01
96440Pleural chemotherapy, with thoracentesisMay accompany chemotherapy administration into the pleural cavity.$667.70–$1,079.07

J9040 billing questions

How many drug units does one J9040 unit represent?

One HCPCS unit represents 15 units of bleomycin sulfate. Calculate reported units from the administered dose using that unit size.

Does status E mean Medicare never pays for J9040?

No. Status E excludes J9040 from the physician fee schedule; when Medicare covers the drug, payment is made under another payment method.

What payment method governs the drug when covered?

CMS classifies J9040 as a Part B drug, generally priced through the quarterly Average Sales Price drug files. Special Medicare coverage instructions apply.

How is J9040 different from J9041?

J9040 identifies bleomycin sulfate. J9041 identifies bortezomib, a different antineoplastic drug; select the code for the drug furnished.

Which routes may be used for bleomycin?

Bleomycin may be administered intravenously, intramuscularly, subcutaneously, or into the pleural cavity. The reported drug units are based on the dose furnished, not the route.

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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