J9040 HCPCS code: Injection, bleomycin sulfate, 15 units
J9040 is the HCPCS Level II code for injection, bleomycin sulfate, 15 units. In 2024 Medicare paid an average of $17.24 per service for J9040 across 2,246 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 4 per day on DME suppliers. Medicare volume fell 11% from 2022 to 2024 (2,516 to 2,246 services). In 2024, about 611 clinicians billed Medicare for J9040 for 980 beneficiaries; Texas, Nevada, California accounted for 33% of services.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1D — Chemotherapy |
| Added | 1984-01-01 |
| Last action effective | 2009-01-01 |
Who bills J9040 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 611 |
| Medicare beneficiaries | 980 |
| States with claims | 25 |
| Share of services in top 3 states (Texas, Nevada, California) | 33% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J9040, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,516 | 985 | $24.69 | $18.66 |
| 2023 | 2,738 | 996 | $23.34 | $17.89 |
| 2024 | 2,246 | 980 | $22.85 | $17.24 |
States with the most J9040 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 250 | $17.31 |
| Nevada | 223 | $16.43 |
| California | 187 | $17.56 |
| New York | 142 | $17.72 |
| Florida | 138 | $17.95 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 4 | Prescribing Information |
| outpatient hospital claims | 4 | Prescribing Information |
| practitioner claims | 4 | Prescribing Information |
What changed for J9040
- 1984-01-01: J9040 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 J9040?
J9040 is the HCPCS Level II code for injection, bleomycin sulfate, 15 units. Short descriptor: "Bleomycin sulfate injection".
How much does Medicare pay for J9040?
In 2024, the average Medicare payment was $17.24 per service (average allowed $22.85).
Does Medicare cover J9040?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J9040 can be billed per day?
4 on DME suppliers; 4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related J90 codes
- J9000 — Injection, doxorubicin hydrochloride, 10 mg
- J9003 — Leuprolide injectable (camcevi etm), 1 mg
- J9010 — Injection, alemtuzumab, 10 mg
- J9011 — Injection, datopotamab deruxtecan-dlnk, 1 mg
- J9015 — Injection, aldesleukin, per single use vial
- J9017 — Injection, arsenic trioxide, 1 mg
- J9019 — Injection, asparaginase (erwinaze), 1,000 iu
- J9020 — Injection, asparaginase, not otherwise specified, 10,000 units
- J9021 — Injection, asparaginase, recombinant, (rylaze), 0.1 mg
- J9022 — Injection, atezolizumab, 10 mg
- J9023 — Injection, avelumab, 10 mg
- J9024 — Injection, atezolizumab, 5 mg and hyaluronidase-tqjs
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Next steps
- Run a reimbursement report for a device billed under J9040
- Watch J9040 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J9040
Sources: CMS HCPCS Level II release October 2026; 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.