J8562 HCPCS code: Fludarabine phosphate, oral, 10 mg
J8562 is the HCPCS Level II code for fludarabine phosphate, oral, 10 mg. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1D — Chemotherapy |
| Added | 2011-01-01 |
| Last action effective | 2024-01-01 |
What changed for J8562
- 2011-01-01: J8562 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code J8562?
J8562 is the HCPCS Level II code for fludarabine phosphate, oral, 10 mg. Short descriptor: "Oral fludarabine phosphate".
Does Medicare cover J8562?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related J85 codes
- J8501 — Aprepitant, oral, 5 mg
- J8510 — Busulfan; oral, 2 mg
- J8515 — Cabergoline, oral, 0.25 mg
- J8520 — Capecitabine, oral, 150 mg
- J8521 — Capecitabine, oral, 500 mg
- J8522 — Capecitabine, oral, 50 mg
- J8530 — Cyclophosphamide; oral, 25 mg
- J8540 — Dexamethasone, oral, 0.25 mg
- J8541 — Dexamethasone (hemady), oral, 0.25 mg
- J8560 — Etoposide; oral, 50 mg
- J8565 — Gefitinib, oral, 250 mg
- J8597 — Antiemetic drug, oral, not otherwise specified
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Next steps
- Run a reimbursement report for a device billed under J8562
- Watch J8562 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J8562
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.