J9320 HCPCS code: Injection, streptozocin, 1 gram

J9320 is the HCPCS Level II code for injection, streptozocin, 1 gram. 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 outpatient hospital claims.

Code details

FieldValue
SectionJ codes — Drugs administered other than oral method
Coverage codeD — Special coverage instructions apply
Pricing indicator51 — Drug or biological (priced per ASP/average sales price rules)
BETOS categoryO1D — Chemotherapy
Added1986-01-01
Last action effective2009-01-01

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
outpatient hospital claims4Prescribing Information
practitioner claims4Prescribing Information

What changed for J9320

Frequently asked questions

What is HCPCS code J9320?

J9320 is the HCPCS Level II code for injection, streptozocin, 1 gram. Short descriptor: "Streptozocin injection".

Does Medicare cover J9320?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

How many units of J9320 can be billed per day?

4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).

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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.

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