HCPCS code J9045: Carboplatin, per 50 mg2026 Medicare rate & RVUs

Carboplatin is an intravenous antineoplastic drug reported by the amount administered, with each HCPCS unit representing 50 mg.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9045

Carboplatin, per 50 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 J9045 →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 J9045 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 J9045 covers

Carboplatin is an antineoplastic drug given by intravenous infusion, commonly as part of chemotherapy for cancers such as ovarian or lung cancer. Oncology practices and hospital outpatient departments report the drug when it is administered; the drug code represents the medication, not the infusion service. Carboplatin may be used in combination regimens, including regimens with paclitaxel or docetaxel.

Each J9045 unit represents 50 mg of carboplatin, so the administered dose is counted in 50 mg increments. CMS assigns this code physician fee schedule status E, meaning it is excluded from the physician fee schedule; when Medicare covers the drug, payment is made under another method. For a covered Part B drug, CMS generally uses its quarterly Average Sales Price drug pricing 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 J9045 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

J9045 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

J9045 rates by state

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

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
J9045 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 J9045 rate is calculated

Each of J9045’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 · J9045

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 J9045

J9045 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 · J9045

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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J9045 isn’t priced in this setting.

J9045 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J9045

    Carboplatin, per 50 mg0 wRVU

    Not priced

  • J9267

    Paclitaxel injection, per 1 mg0 wRVU

    Not priced

  • J9060

    Cisplatin injection, per 10 mg0 wRVU

    Not priced

  • J9040

    Bleomycin injection, per 15 units0 wRVU

    Not priced

How to choose

J9267Paclitaxel injectionPer 1 mg
J9267 identifies paclitaxel, a different antineoplastic drug, and uses its own drug-unit basis. Choose the code for the medication administered.
J9060Cisplatin injectionPer 10 mg
J9060 identifies cisplatin, another platinum-based antineoplastic drug. Use J9045 for carboplatin and J9060 for cisplatin.
J9040Bleomycin injectionPer 15 units
J9040 identifies bleomycin, not carboplatin. The drugs have distinct identities and are reported under their respective HCPCS codes.

J9045 billing questions

How many units should be reported?

Each unit represents 50 mg of carboplatin. Calculate units from the amount administered.

Does J9045 include the chemotherapy infusion service?

No. J9045 identifies the carboplatin drug quantity; the infusion service is represented by a separate chemotherapy administration code when applicable.

How does Medicare treat J9045?

CMS assigns status E, excluding the code from the physician fee schedule. When Medicare covers the drug, it pays under another method; covered Part B drug pricing generally comes from CMS quarterly ASP files.

What documentation supports the reported units?

Document the carboplatin administered and the dose in milligrams so the reported units correspond to 50 mg each.

Should J9045 be used for a different platinum drug?

No. Report J9045 for carboplatin; select the drug code that matches the medication actually administered.

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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