J9054 HCPCS code: Injection, bortezomib (boruzu), 0.1 mg

J9054 is the HCPCS Level II code for injection, bortezomib (boruzu), 0.1 mg. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 70 per day on DME suppliers.

Code details

FieldValue
SectionJ codes — Drugs administered other than oral method
Coverage codeC — Carrier judgment
Pricing indicator51 — Drug or biological (priced per ASP/average sales price rules)
BETOS categoryO1D — Chemotherapy
Added2025-04-01
Last action effective2025-04-01

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers70CMS Policy
outpatient hospital claims70CMS Policy
practitioner claims70CMS Policy

What changed for J9054

Frequently asked questions

What is HCPCS code J9054?

J9054 is the HCPCS Level II code for injection, bortezomib (boruzu), 0.1 mg. Short descriptor: "Inj bortezomib boruzu 0.1 mg".

Does Medicare cover J9054?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

How many units of J9054 can be billed per day?

70 on DME suppliers; 70 on outpatient hospital claims; 70 on practitioner claims (NCCI medically unlikely edits).

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Next steps

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.

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