J9360 HCPCS code: Injection, vinblastine sulfate, 1 mg

J9360 is the HCPCS Level II code for injection, vinblastine sulfate, 1 mg. In 2024 Medicare paid an average of $3.38 per service for J9360 across 22,142 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 45 per day on DME suppliers. Medicare volume fell 14% from 2022 to 2024 (25,744 to 22,142 services). In 2024, about 665 clinicians billed Medicare for J9360 for 413 beneficiaries; Florida, Texas, California accounted for 47% of services.

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

Who bills J9360 (2024)

MeasureValue
Clinicians billing (by place of service)665
Medicare beneficiaries413
States with claims15
Share of services in top 3 states (Florida, Texas, California)47%

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for J9360, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
202225,744498$3.90$3.11
202323,830459$3.90$3.09
202422,142413$4.25$3.38

States with the most J9360 services (2024)

StateServicesAvg. paid
Florida3,114$3.41
Texas2,236$3.51
California2,045$3.46
Illinois1,499$3.37
New York1,250$3.42

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers45Clinical: CMS Workgroup
outpatient hospital claims40Prescribing Information
practitioner claims40Prescribing Information

What changed for J9360

Frequently asked questions

What is HCPCS code J9360?

J9360 is the HCPCS Level II code for injection, vinblastine sulfate, 1 mg. Short descriptor: "Vinblastine sulfate inj".

How much does Medicare pay for J9360?

In 2024, the average Medicare payment was $3.38 per service (average allowed $4.25).

Does Medicare cover J9360?

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

How many units of J9360 can be billed per day?

45 on DME suppliers; 40 on outpatient hospital claims; 40 on practitioner claims (NCCI medically unlikely edits).

Related J93 codes

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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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