HCPCS code J9050: Carmustine injection, per 100 mg2026 Medicare rate & RVUs in California

Reports injectable carmustine used in oncology treatment, with each HCPCS unit representing 100 mg of the drug.

CMS RVU26DEffective Oct 1, 202629 payment localities

CMS doesn’t publish an office rate for J9050 in California.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in California
  2. What J9050 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What J9050 covers

Carmustine is an alkylating chemotherapy drug given by intravenous infusion. Oncology practices use it in treatment plans for certain brain tumors and blood cancers, including lymphoma and multiple myeloma. This code identifies the injectable drug, not carmustine wafers placed surgically in the brain. Select the drug code that matches the product supplied; J9052 identifies an Accord carmustine product.

One unit represents 100 mg of carmustine, so reported units reflect the administered amount divided by 100 mg. CMS excludes J9050 from the physician fee schedule under status E. When Medicare covers the drug, it pays under another method; HCPCS pricing identifies it as a Part B drug generally paid from CMS’s quarterly ASP 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 J9050 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

J9050 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the J9050 rate is calculated

Each of J9050’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 · J9050

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 J9050

J9050 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 · J9050

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J9050 isn’t priced in this setting.

J9050 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J9050

    Carmustine injection, per 100 mg0 wRVU

    Not priced

  • J9052

    Carmustine injection, per 100 mg0 wRVU

    Not priced

  • J9045

    Carboplatin, per 50 mg0 wRVU

    Not priced

  • J9060

    Cisplatin injection, per 10 mg0 wRVU

    Not priced

How to choose

J9052Carmustine injectionPer 100 mg
J9052 identifies an Accord carmustine product. J9050 identifies injectable carmustine without that product-specific distinction.
J9045CarboplatinPer 50 mg
J9045 is carboplatin, a different antineoplastic drug. Use J9050 for carmustine.
J9060Cisplatin injectionPer 10 mg
J9060 is cisplatin, not carmustine. Choose the code for the drug actually supplied.

J9050 billing questions

How many units should be reported?

Each unit represents 100 mg of carmustine. Report units based on the amount administered.

How does J9050 differ from J9052?

Both identify injectable carmustine, but J9052 identifies an Accord product. Use the code that matches the product supplied.

Does J9050 describe carmustine wafers?

No. J9050 is for injectable carmustine; wafers placed during brain surgery are a different formulation and service.

How does Medicare treat J9050?

CMS excludes it from the physician fee schedule under status E. When covered, Medicare pays under another method; its HCPCS pricing identifies it as a Part B drug generally paid from quarterly ASP files.

Is chemotherapy administration included in J9050?

J9050 identifies the drug. Report chemotherapy administration separately when the applicable coding requirements are met.

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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