J9153 HCPCS code: Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine
J9153 is the HCPCS Level II code for injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine. In 2024 Medicare paid an average of $182.31 per service for J9153 across 6,567 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 132 per day on outpatient hospital claims. Medicare volume fell 47% from 2022 to 2024 (12,386 to 6,567 services). In 2024, about 43 clinicians billed Medicare for J9153 for 26 beneficiaries.
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 | 2019-01-01 |
| Last action effective | 2019-01-01 |
Who bills J9153 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 43 |
| Medicare beneficiaries | 26 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J9153, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 12,386 | 43 | $193.43 | $154.43 |
| 2023 | 10,325 | 34 | $217.37 | $173.19 |
| 2024 | 6,567 | 26 | $228.69 | $182.31 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 132 | Prescribing Information |
| practitioner claims | 132 | Prescribing Information |
What changed for J9153
- 2019-01-01: J9153 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 J9153?
J9153 is the HCPCS Level II code for injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine. Short descriptor: "Inj daunorubicin, cytarabine".
How much does Medicare pay for J9153?
In 2024, the average Medicare payment was $182.31 per service (average allowed $228.69).
Does Medicare cover J9153?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J9153 can be billed per day?
132 on outpatient hospital claims; 132 on practitioner claims (NCCI medically unlikely edits).
Related J91 codes
- J9100 — Injection, cytarabine, 100 mg
- J9118 — Injection, calaspargase pegol-mknl, 10 units
- J9119 — Injection, cemiplimab-rwlc, 1 mg
- J9120 — Injection, dactinomycin, 0.5 mg
- J9130 — Dacarbazine, 100 mg
- J9144 — Injection, daratumumab, 10 mg and hyaluronidase-fihj
- J9145 — Injection, daratumumab, 10 mg
- J9150 — Injection, daunorubicin, 10 mg
- J9151 — Injection, daunorubicin citrate, liposomal formulation, 10 mg
- J9155 — Injection, degarelix, 1 mg
- J9160 — Injection, denileukin diftitox, 300 micrograms
- J9161 — Injection, denileukin diftitox-cxdl, 1 mcg
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Next steps
- Run a reimbursement report for a device billed under J9153
- Watch J9153 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J9153
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.