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HCPCS code J9052: Carmustine injection, per 100 mg2026 Medicare rate & RVUs

Reports Accord carmustine injection used in cancer treatment, with each HCPCS unit representing 100 mg of the drug administered.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9052

Carmustine injection, per 100 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 J9052 →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 J9052 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 J9052 covers

J9052 identifies Accord carmustine injection, an intravenous antineoplastic drug used in treatment of cancers including brain tumors and lymphomas. Oncology practices and hospital outpatient departments may report it when this specific carmustine product is administered as part of a treatment regimen. Select the code for the product actually furnished; J9052 is identified as not therapeutically equivalent to J9050, so the two product codes are not interchangeable simply because both contain carmustine.

CMS excludes J9052 from the physician fee schedule under status E. When Medicare covers the drug, it is treated as a Part B drug and generally priced through CMS quarterly Average Sales Price files; special Medicare coverage instructions apply. One HCPCS unit represents 100 mg, so report units based on the amount administered. The drug code identifies the medication, while the chemotherapy administration service is reported separately when applicable.

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 J9052 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

J9052 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

J9052 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
J9052 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 J9052 rate is calculated

Each of J9052’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 · J9052

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 J9052

J9052 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 · J9052

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J9052 isn’t priced in this setting.

J9052 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J9052

    Carmustine injection, per 100 mg0 wRVU

    Not priced

  • J9050

    Carmustine injection, per 100 mg0 wRVU

    Not priced

  • J9045

    Carboplatin, per 50 mg0 wRVU

    Not priced

  • J9040

    Bleomycin injection, per 15 units0 wRVU

    Not priced

How to choose

J9050Carmustine injectionPer 100 mg
Both codes identify carmustine, but J9052 is for the Accord product and is identified as not therapeutically equivalent to J9050. Choose according to the product furnished.
J9045CarboplatinPer 50 mg
J9045 identifies carboplatin, a different antineoplastic drug. Use J9052 for the Accord carmustine product, not for carboplatin.
J9040Bleomycin injectionPer 15 units
J9040 identifies bleomycin sulfate, not carmustine. The drug administered determines which code applies.

Codes related to J9052

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

Codes related to J9052
CodeHow it relatesNational office range
Same family
J9050Carmustine injection, per 100 mgCarmustine code distinguished from the Accord product identified by J9052.No office rate
Often billed with
96413Chemo IV infusion, initial drug, first hourMay report the initial hour of a separately reportable intravenous chemotherapy infusion.$114.99–$186.95
96415Chemo infusion add-on, each additional hourMay report each additional hour of a separately reportable intravenous chemotherapy infusion.$25.05–$38.23

J9052 billing questions

When should a biller use J9052 instead of J9050?

Use J9052 for the Accord carmustine product identified by this code. It is specifically distinguished from J9050 as not therapeutically equivalent, so code the product furnished rather than treating the codes as interchangeable.

How many milligrams does one unit represent?

One unit represents 100 mg of carmustine. Calculate the number of units from the amount administered.

Is J9052 the chemotherapy administration service?

No. J9052 reports the drug; an applicable chemotherapy administration service, such as CPT 96413 for an initial intravenous infusion, is a separate service.

How does Medicare treat J9052?

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

Is carmustine given intravenously?

Yes. J9052 is for carmustine injection administered intravenously in cancer treatment.

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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