HCPCS code J9192: Fluorouracil injection, per 10 mg2026 Medicare rate & RVUs

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

What J9192 covers

Fluorouracil is an antimetabolite chemotherapy drug used in regimens for cancers such as colorectal, breast, gastric, pancreatic, and certain head and neck cancers. Injectable fluorouracil is usually given intravenously by oncology clinicians in infusion centers, hospital outpatient departments, or physician offices. Depending on the treatment regimen, administration may be by IV push or infusion. The drug line identifies the medication furnished; a chemotherapy administration service may also be reported when applicable.

CMS assigns this code physician fee schedule status E, excluding it from the physician fee schedule. When Medicare covers the drug, payment is under another payment method; the HCPCS pricing method identifies it as a Part B drug generally paid from CMS quarterly ASP drug pricing files. Special Medicare coverage instructions apply. One unit represents 10 mg, so the reported drug units reflect the furnished dose in 10 mg increments.

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 J9192 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

J9192 rates by state

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

How the J9192 rate is calculated

Each of J9192’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 J9192

J9192 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.

J9192 compared with similar codes

How to choose

J9190Fluorouracil injection500 mg per unit

J9190 represents fluorouracil in 500 mg units; J9192 represents it in 10 mg units. Check the code’s unit definition when calculating the drug units.

J9191Avyxa fluorouracilPer 10 mg

J9191 specifically identifies Avyxa fluorouracil at 10 mg per unit. J9192 does not specify Avyxa; distinguish the codes by the product furnished.

96413Chemo IV infusionInitial drug, first hour

96413 describes chemotherapy administration by infusion, not the fluorouracil drug itself. J9192 identifies the medication furnished.

Codes related to J9192

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