HCPCS code J9172: Docetaxel injection, docivyx, per 1 mg2026 Medicare rate & RVUs in Michigan
J9172 reports Docivyx docetaxel given by intravenous infusion for cancer treatment, with each billing unit representing 1 mg of the drug.
CMS doesn’t publish an office rate for J9172 in Michigan.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What J9172 covers
Docivyx is a docetaxel antineoplastic drug administered by intravenous infusion. Oncology clinicians use docetaxel in treatment regimens for cancers including breast, non-small cell lung, prostate, gastric, and head and neck cancers. The oncology practice or facility reports the drug code for the Docivyx product furnished during the treatment encounter, alongside the applicable chemotherapy administration service when performed.
J9172 is a Part B drug code, and each unit represents 1 mg of docetaxel; report units based on the dose furnished. CMS excludes the code from the physician fee schedule under status E. When Medicare covers the drug, payment is under another method, generally using CMS quarterly Average Sales Price drug pricing files for Part B drugs. Coverage is left to the Medicare contractor's judgment.
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 J9172 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | Unavailable |
| Rest of Michigan | Unavailable | Unavailable |
How the J9172 rate is calculated
Each of J9172’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 · J9172
RVUs × geographic indexes × conversion factor
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 J9172
J9172 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 · J9172
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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J9172 isn’t priced in this setting.
J9172 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- J9171Docetaxel injectionPer 1 mg
- J9172 is specific to Docivyx docetaxel; J9171 identifies docetaxel under a separate code.
- J9174Docetaxel injectionBeizray, per 1 mg
- J9174 identifies Beizray docetaxel. Select between these product-specific codes according to which product was furnished.
- J9173Durvalumab injectionPer 10 mg
- J9173 is durvalumab, a different cancer drug; J9172 is docetaxel supplied as Docivyx.
J9172 billing questions
When should J9172 be used instead of J9171?
Use J9172 for Docivyx docetaxel. J9171 identifies docetaxel under a separate code and is not the Docivyx-specific code.
How many units should be reported?
Each J9172 unit represents 1 mg. Calculate units from the total Docivyx dose furnished.
Is chemotherapy administration included in J9172?
J9172 identifies the drug, not the infusion service. Report the applicable chemotherapy administration service separately when performed.
How does Medicare treat J9172?
CMS excludes J9172 from the physician fee schedule under status E. When covered, it is paid under another payment method, generally from the quarterly ASP drug pricing files; coverage is determined by the Medicare contractor.
What documentation supports J9172 units?
Document that the product furnished was Docivyx and the total dose given, so the reported units reflect the 1 mg billing unit.
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
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