J9370 HCPCS code: Vincristine sulfate, 1 mg
J9370 is the HCPCS Level II code for vincristine sulfate, 1 mg. In 2024 Medicare paid an average of $6.26 per service for J9370 across 17,212 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 4 per day on DME suppliers. Medicare volume fell 34% from 2022 to 2024 (26,102 to 17,212 services). In 2024, 3 suppliers billed Medicare for J9370 (purchases), serving 0 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 | 1986-01-01 |
| Last action effective | 1997-01-01 |
Who bills J9370 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 3 |
| Referring clinicians | 6 |
| Medicare beneficiaries | 0 |
| States with claims | 2 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 4 | 0 |
| 2023 | 4 | 0 |
| 2024 | 3 | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J9370, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 26,102 | 3,826 | $4.84 | $3.86 |
| 2023 | 21,032 | 3,214 | $6.04 | $4.80 |
| 2024 | 17,212 | 2,685 | $7.88 | $6.26 |
States with the most J9370 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 2,054 | $6.26 |
| California | 1,975 | $6.27 |
| Texas | 1,818 | $6.29 |
| Illinois | 951 | $6.26 |
| Virginia | 825 | $6.27 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 4 | Clinical: Data |
| outpatient hospital claims | 4 | Clinical: Data |
| practitioner claims | 4 | Clinical: Data |
What changed for J9370
- 1986-01-01: J9370 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 J9370?
J9370 is the HCPCS Level II code for vincristine sulfate, 1 mg. Short descriptor: "Vincristine sulfate 1 mg inj".
How much does Medicare pay for J9370?
In 2024, the average Medicare payment was $6.26 per service (average allowed $7.88).
Does Medicare cover J9370?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J9370 can be billed per day?
4 on DME suppliers; 4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related J93 codes
- J9300 — Injection, gemtuzumab ozogamicin, 5 mg
- J9301 — Injection, obinutuzumab, 10 mg
- J9302 — Injection, ofatumumab, 10 mg
- J9303 — Injection, panitumumab, 10 mg
- J9304 — Injection, pemetrexed (pemfexy), 10 mg
- J9305 — Injection, pemetrexed, not otherwise specified, 10 mg
- J9306 — Injection, pertuzumab, 1 mg
- J9307 — Injection, pralatrexate, 1 mg
- J9308 — Injection, ramucirumab, 5 mg
- J9309 — Injection, polatuzumab vedotin-piiq, 1 mg
- J9310 — Injection, rituximab, 100 mg
- J9311 — Injection, rituximab 10 mg and hyaluronidase
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Next steps
- Run a reimbursement report for a device billed under J9370
- Watch J9370 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J9370
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.