J9208 HCPCS code: Injection, ifosfamide, 1 gram
J9208 is the HCPCS Level II code for injection, ifosfamide, 1 gram. In 2024 Medicare paid an average of $20.17 per service for J9208 across 1,838 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 15 per day on outpatient hospital claims. Medicare volume fell 38% from 2022 to 2024 (2,951 to 1,838 services). In 2024, about 159 clinicians billed Medicare for J9208 for 69 beneficiaries.
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 | 1990-01-01 |
| Last action effective | 2018-01-01 |
Who bills J9208 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 159 |
| Medicare beneficiaries | 69 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J9208, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,951 | 100 | $26.13 | $20.87 |
| 2023 | 2,321 | 89 | $25.29 | $20.15 |
| 2024 | 1,838 | 69 | $25.29 | $20.17 |
States with the most J9208 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 332 | $19.31 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 15 | Clinical: Data |
| practitioner claims | 15 | Clinical: Data |
What changed for J9208
- 1990-01-01: J9208 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 J9208?
J9208 is the HCPCS Level II code for injection, ifosfamide, 1 gram. Short descriptor: "Ifosfamide injection".
How much does Medicare pay for J9208?
In 2024, the average Medicare payment was $20.17 per service (average allowed $25.29).
Does Medicare cover J9208?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J9208 can be billed per day?
15 on outpatient hospital claims; 15 on practitioner claims (NCCI medically unlikely edits).
Related J92 codes
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- J9201 — Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg
- J9202 — Goserelin acetate implant, per 3.6 mg
- J9203 — Injection, gemtuzumab ozogamicin, 0.1 mg
- J9204 — Injection, mogamulizumab-kpkc, 1 mg
- J9205 — Injection, irinotecan liposome, 1 mg
- J9206 — Injection, irinotecan, 20 mg
- J9207 — Injection, ixabepilone, 1 mg
- J9209 — Injection, mesna, 200 mg
- J9210 — Injection, emapalumab-lzsg, 1 mg
- J9211 — Injection, idarubicin hydrochloride, 5 mg
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Next steps
- Run a reimbursement report for a device billed under J9208
- Watch J9208 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J9208
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.