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

CMS doesn’t publish an office rate for J9040 in California.

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

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 in California

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

29 of 29 payment localities

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.

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.

J9040 compared with similar codes

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.

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