HCPCS code J9362: Trabectedin injection, per 0.01 mg2026 Medicare rate & RVUs in New York
Reports trabectedin administered by injection or infusion for eligible soft tissue sarcoma treatment, with each billing unit representing 0.01 mg.
CMS doesn’t publish an office rate for J9362 in New York.
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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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 in New York
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | Unavailable | Unavailable |
| NYC suburbs and Long Island, NY | Unavailable | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | Unavailable | Unavailable |
| Queens, NY | Unavailable | Unavailable |
| Rest of New York | Unavailable | Unavailable |
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
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
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J9362 isn’t priced in this setting.
J9362 compared with similar codes
Compare codes · National
J9362 vs J9352 vs 96416: Medicare rates
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.
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
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