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HCPCS code J9362: Trabectedin injection, per 0.01 mg2026 Medicare rate & RVUs

Reports trabectedin administered by injection or infusion for eligible soft tissue sarcoma treatment, with each billing unit representing 0.01 mg.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9362

Trabectedin injection, per 0.01 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 J9362 →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 J9362 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 J9362 covers

Trabectedin is an antineoplastic drug administered by intravenous infusion, typically over 24 hours through a central venous line in an oncology setting. It is used in adults with unresectable or metastatic liposarcoma or leiomyosarcoma after prior chemotherapy that included an anthracycline and at least one additional regimen. Oncology clinicians and facilities report drug units for the amount administered; the infusion-administration service is reported separately when applicable.

CMS assigns J9362 physician fee schedule status E, excluding it from the physician fee schedule. It is a Part B drug, and when Medicare covers it, payment generally follows CMS quarterly Average Sales Price drug pricing files. Coverage is left to the Medicare contractor’s judgment. One unit represents 0.01 mg, so 1 mg equals 100 units. For a prolonged infusion requiring a pump, CPT 96416 describes initiation of the chemotherapy infusion.

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 J9362 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

J9362 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

J9362 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
J9362 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 J9362 rate is calculated

Each of J9362’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 · J9362

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 J9362

J9362 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 · J9362

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J9362 isn’t priced in this setting.

J9362 compared with similar codes

Compare codes · National

J9362 vs J9352 vs 96416: Medicare rates

Office or facility?

  • J9362

    Trabectedin injection, per 0.01 mg0 wRVU

    Not priced

  • J9352

    Trabectedin injection, per 0.1 mg0 wRVU

    Not priced

  • 96416

    Pump infusion, prolonged infusion over eight hours0.21 wRVU

    $133.27

How to choose

J9352Trabectedin injectionPer 0.1 mg
J9362 represents 0.01 mg of trabectedin per unit; J9352 represents 0.1 mg per unit. Distinguish them by the drug quantity represented by each unit.
96416Pump infusionProlonged infusion over eight hours
J9362 reports the trabectedin drug amount. CPT 96416 describes initiation of a prolonged chemotherapy infusion requiring a pump.

Codes related to J9362

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

Codes related to J9362
CodeHow it relatesNational office range
Same family
J9352Trabectedin injection, per 0.1 mgReports trabectedin using a 0.1 mg unit rather than this code’s 0.01 mg unit.No office rate
Often billed with
96416Pump infusion, prolonged infusion over eight hoursDescribes initiation of a prolonged chemotherapy infusion requiring a pump when applicable.$114.66–$187.73

J9362 billing questions

How many units represent 1 mg of trabectedin?

Each unit represents 0.01 mg. One milligram corresponds to 100 units.

How does this code differ from J9352?

Both identify trabectedin, but J9352 represents 0.1 mg per unit while J9362 represents 0.01 mg per unit. Select the code whose unit definition applies to the claim; do not report both for the same drug amount.

Does status E mean Medicare never pays for the drug?

No. Status E excludes the code from the physician fee schedule. When covered, Medicare generally pays under another method using quarterly ASP drug pricing files, and coverage is left to the Medicare contractor’s judgment.

Is infusion administration included in the drug code?

J9362 identifies the drug amount, not the infusion-administration service. CPT 96416 describes initiation of a prolonged chemotherapy infusion requiring a pump when applicable.

What condition is trabectedin used to treat?

It is used in adults with unresectable or metastatic liposarcoma or leiomyosarcoma after prior chemotherapy that included an anthracycline and at least one additional regimen.

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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