J9027
J9027 – Injection, clofarabine, 1 mg · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 10 NDCs crosswalked per 1 MG $16.245/unit ASP+6%
📋 J9027 summary
J9027 is a HCPCS Level II J-code used to bill clofarabine, 1 mg, billed per 1 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
Brand names associated with J9027: Clofarabine
Code J9027
Billing unit 1 MG Payment limit $16.245/unit NDC-Crosswalk 10
Quarter Q3 2026
RxCUI Atlas Trace the drug concept →
⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.
🗂️ Key billing facts
HCPCS codeJ9027
DescriptorInjection, clofarabine, 1 mg
Billing unit1 MG
Payment limit / unit$16.245
Est. ASP / unit$15.325 est.
Mapped NDCs10
Data periodQ3 2026
Last updated2026-08-20
🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026
📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$16.245
Est. ASP / unit
$15.325 est.
Est. after 2% sequester
$15.920
HCPCS dosage
1 MG
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.
Full HCPCS code details (official CMS record)
Long descriptionInjection, clofarabine, 1 mg
CoverageC — Carrier/MAC judgment
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1E
ASC payment groupYY
Action codeN — No maintenance this year
Effective date2006-01-01
Date added2006-01-01
Source: CMS HCPCS Level II code file (imported via admin).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of J9027 = 1 mg. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.
🔁 NDCs that bill under J9027 WITH EST. MEDICARE PAY
10 NDCs map to J9027. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($16.245/unit) × that package's bill units.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | Est. pay / pkg | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|---|
| 43598-0309-20 | Clofarabine 1 mg/mL INJECTION | Dr.Reddy's | 1 VIAL, SINGLE-DOSE in 1 CARTON (43598-309... | 1 mg/mL | 20 | $324.90 | — | ● Active | CMS + PDAC |
| 60505-6166-00 | Clofarabine | Apotex | — | — | 20 | $324.90 | — | — | CMS + PDAC |
| 63323-0572-70 | CLOFARABINE 1 mg/mL INJECTION | Fresenius | 1 VIAL, SINGLE-USE in 1 CARTON (63323-572-... | 1 mg/mL | 20 | $324.90 | — | ● Active | CMS + PDAC |
| 67457-0546-20 | Clofarabine | Mylan | — | — | 20 | $324.90 | — | — | CMS + PDAC |
| 70121-1236-01 | Clofarabine 1 mg/mL INJECTION | Amneal | 1 VIAL, SINGLE-DOSE in 1 BOX (70121-1236-1... | 1 mg/mL | 20 | $324.90 | — | ● Active | CMS + PDAC |
| 71288-0128-20 | Clofarabine 1 mg/mL INJECTION | Meitheal | 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-128... | 1 mg/mL | 20 | $324.90 | — | ● Active | CMS + PDAC |
| 72266-0108-01 | CLOFARABINE 1 mg/mL INJECTION | Fosun | 1 VIAL, SINGLE-DOSE in 1 CARTON (72266-108... | 1 mg/mL | 20 | $324.90 | — | ● Active | CMS + PDAC |
| 50742-0512-20 | CLOFARABINE (SDV,PF) 1 MG/1 ML | Unknown | — | — | 1 | $16.25 | — | — | PDAC |
| 00955-1746-01 | CLOFARABINE (PF) 1 MG/1 ML | Unknown | — | — | 1 | $16.25 | — | — | PDAC |
| 00024-5860-01 | CLOLAR (SINGLE-USE VIAL,PF) 1 MG/ML | Unknown | — | — | 1 | $16.25 | — | — | PDAC |
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.
📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)
Period
Total Part B spend
$4.1K
Claims
14
Beneficiaries
—
Spend / beneficiary
—
Spend / claim
$294.90
Trend by period
Where J9027 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #714 of 824
#709
CALCIUM GLUCONATE-NA... J0612
$5.2K
#710
DELESTROGEN* J1380
$5.1K
#711
SYNOJOYNT, INJ., 1 M... J7331
$4.5K
#712
FUROSEMIDE(J1938) J1938
$4.2K
#713
AMIKACIN SULFATE J0278
$4.2K
#714
CLOFARABINE* J9027
$4.1K
#715
HEPARIN FLUSH J1642
$4K
#716
DIAZEPAM J3360
$3.9K
#717
COMIRNATY (5-11Y)* 91319
$3.8K
#718
ERAXIS J0348
$3.8K
#719
ACETAMINOPHEN(J0131) J0131
$3.7K
Total claims — #810 of 824
#805
JOBEVNE Q5160
15
#806
HAVRIX* 90632
14
#807
CLINDAMYCIN-0.9% NAC... J0737
14
#808
COAGADEX J7175
14
#809
PROGRAF(J7525)* J7525
14
#810
CLOFARABINE* J9027
14
#811
ONCASPAR J9266
14
#812
BICILLIN C-R J0558
13
#813
ZINPLAVA J0565
13
#814
PELLOGRAFT, PER SQ C... Q4320
13
#815
RETACRIT(Q5105) Q5105
13
Top Medicare Part B drugs by the selected metric. Click any drug to open its J-code page. Source: CMS Medicare Quarterly Part B Spending by Drug.
Full breakdown by period (2)
| Period | Total spend | Beneficiaries | Claims | $/beneficiary | $/claim |
|---|---|---|---|---|---|
| 2026 (Q1) | $4.1K | — | 14 | — | $294.90 |
| 2025 (Q1-Q4) | $17K | — | 35 | — | $486.84 |
Provider-administered (Part B) spend, calculated for the whole HCPCS code (CMS does not publish Medicare spend per individual NDC). Self-administered use is covered under Part D instead. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part B Spending by Drug (data.cms.gov), updated quarterly.
📈 Medicare Part B claims detail CMS PSPS · 2024
Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
$6.9K
Medicare paid
$5.5K
Submitted services
612
Submitted charges
$242.4K
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.
🗺️ Where J9027 is utilized
⏳
The geographic utilization map is building for this code — it aggregates millions of CMS Part B claim lines, then caches the result. Refresh in a moment; if it doesn’t appear, this code may have no reportable Part B utilization.
📊 What bills under J9027
J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.
NDC products by ingredient
NDC products by labeler
🗃️ Data sources & freshness
Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Loaded
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-08-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
10 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Not available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
Latest data year 2026
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.
⚠️ Practical billing caveats
- A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
- Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
- Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
- Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
- The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
- Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.
❓ J9027 billing FAQ
What is HCPCS code J9027?
J9027 is a HCPCS Level II J-code used to bill Injection, clofarabine, 1 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J9027?
One unit of J9027 represents 1 MG. Report the number of units equal to the dose administered divided by 1 MG.
How many units of J9027 should I bill?
Divide the dose administered by the code's unit size (1 MG) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for J9027?
The Medicare Part B payment limit is $16.245 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $15.920 per unit. Payment limits are revised quarterly.
Which NDCs bill under J9027?
10 NDCs currently map to J9027 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean J9027 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.