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J9263

J9263 – Injection, oxaliplatin, 0.5 mg · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing
J-code ● 58 NDCs crosswalked per 0.5 MG $0.055/unit ASP+6%

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

📋 J9263 summary

J9263 is a HCPCS Level II J-code used to bill oxaliplatin, 0.5 mg, billed per 0.5 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.

Code J9263 Billing unit 0.5 MG Payment limit $0.055/unit NDC-Crosswalk 58 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 codeJ9263
DescriptorInjection, oxaliplatin, 0.5 mg
Billing unit0.5 MG
Payment limit / unit$0.055
Est. ASP / unit$0.052 est.
Mapped NDCs58
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
$0.055
Est. ASP / unit
$0.052 est.
Est. after 2% sequester
$0.054
HCPCS dosage
0.5 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, oxaliplatin, 0.5 mg
CoverageC — Carrier/MAC judgment
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1D
ASC payment group—
Action codeN — No maintenance this year
Effective date2018-01-01
Date added2004-01-01
Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J9263 = 0.5 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 J9263 WITH EST. MEDICARE PAY

58 NDCs map to J9263. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.055/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
00703-3985-01 Oxaliplatin Teva — — 100 $5.50 — — CMS ASP
00703-3986-01 Oxaliplatin Teva — — 200 $11.00 — — CMS ASP
00781-3315-70 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Sandoz 1 VIAL, SINGLE-USE in 1 CARTON (0781-3315-... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
00781-3317-80 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Sandoz 1 VIAL, SINGLE-USE in 1 CARTON (0781-3317-... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
00781-9315-70 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Sandoz 1 VIAL, SINGLE-USE in 1 CARTON (0781-9315-... 5 mg/mL 100 $5.50 — ● Active CMS ASP
00781-9317-80 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Sandoz 1 VIAL, SINGLE-USE in 1 CARTON (0781-9317-... 5 mg/mL 200 $11.00 — ● Active CMS ASP
00955-1727-20 Oxaliplatin Sanofi-Aventis — — 200 $11.00 — — CMS ASP
16729-0332-03 oxaliplatin 5 mg/mL INJECTION, SOLUTION, CONCENTRATE Accord 1 VIAL, SINGLE-DOSE in 1 CARTON (16729-332... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
16729-0332-05 oxaliplatin 5 mg/mL INJECTION, SOLUTION, CONCENTRATE Accord 1 VIAL, SINGLE-DOSE in 1 CARTON (16729-332... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
25021-0233-10 oxaliplatin 5 mg/mL INJECTION, SOLUTION Sagent 1 VIAL in 1 CARTON (25021-233-10) / 10 mL... 5 mg/mL 100 $5.50 — ● Active CMS ASP
25021-0233-20 oxaliplatin 5 mg/mL INJECTION, SOLUTION Sagent 1 VIAL in 1 CARTON (25021-233-20) / 20 mL... 5 mg/mL 200 $11.00 — ● Active CMS ASP
50742-0405-10 Oxaliplatin Ingenus — — 100 $5.50 — — CMS + PDAC
50742-0406-20 Oxaliplatin Ingenus — — 200 $11.00 — — CMS + PDAC
55150-0331-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Eugia 1 VIAL in 1 CARTON (55150-331-01) / 10 mL... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
55150-0332-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Eugia 1 VIAL in 1 CARTON (55150-332-01) / 20 mL... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
60505-6132-06 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Apotex 1 VIAL in 1 CARTON (60505-6132-6) / 10 mL... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
60505-6132-07 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Apotex 1 VIAL in 1 CARTON (60505-6132-7) / 20 mL... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
60505-6132-08 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Apotex 1 VIAL in 1 CARTON (60505-6132-8) / 40 mL... 5 mg/mL 400 $22.00 — ● Active CMS + PDAC
60505-6287-02 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Apotex 1 VIAL in 1 CARTON (60505-6287-2) / 10 mL... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
60505-6287-04 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Apotex 1 VIAL in 1 CARTON (60505-6287-4) / 20 mL... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
61703-0363-18 Oxaliplatin 5 mg/mL INJECTION, SOLUTION, CONCENTRATE Hospira, 1 VIAL, SINGLE-DOSE in 1 CARTON (61703-363... 5 mg/mL 100 $5.50 — Obsolete CMS ASP
61703-0363-22 Oxaliplatin 5 mg/mL INJECTION, SOLUTION, CONCENTRATE Hospira, 1 VIAL, SINGLE-DOSE in 1 CARTON (61703-363... 5 mg/mL 200 $11.00 — Obsolete CMS ASP
63323-0750-10 Oxaliplatin FreseniUS — — 100 $5.50 — — CMS + PDAC
63323-0750-20 Oxaliplatin FreseniUS — — 200 $11.00 — — CMS + PDAC
67457-0442-20 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Mylan 1 VIAL in 1 CARTON (67457-442-20) / 20 mL... 5 mg/mL 200 $11.00 — ● Active CMS ASP
67457-0469-10 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Mylan 1 VIAL in 1 CARTON (67457-469-10) / 10 mL... 5 mg/mL 100 $5.50 — ● Active CMS ASP
68001-0468-36 Oxaliplatin 5 mg/mL INJECTION, SOLUTION BluePoint 1 VIAL in 1 CARTON (68001-468-36) / 10 mL... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
68001-0468-37 Oxaliplatin 5 mg/mL INJECTION, SOLUTION BluePoint 1 VIAL in 1 CARTON (68001-468-37) / 20 mL... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
71288-0101-10 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Meitheal 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-101... 5 mg/mL 100 $5.50 — ● Active CMS ASP
71288-0101-20 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Meitheal 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-101... 5 mg/mL 200 $11.00 — ● Active CMS ASP
71288-0149-95 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Meitheal 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-149... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
71288-0149-96 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Meitheal 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-149... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
71288-0171-11 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Meitheal 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-171... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
71288-0171-91 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Meitheal 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-171... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
71288-0172-21 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Meitheal 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-172... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
71288-0172-92 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Meitheal 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-172... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
72266-0161-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION FOSUN 1 VIAL, SINGLE-USE in 1 CARTON (72266-161-... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
72266-0162-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION FOSUN 1 VIAL, SINGLE-USE in 1 CARTON (72266-162-... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
72603-0101-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION NorthStar 1 VIAL, SINGLE-DOSE in 1 CARTON (72603-101... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
72603-0301-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION NorthStar 1 VIAL, SINGLE-DOSE in 1 CARTON (72603-301... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
72603-0320-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Northstar 1 VIAL, SINGLE-DOSE in 1 CARTON (72603-320... 5 mg/mL 200 $11.00 — ● Active CMS + PDAC
72603-0420-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Northstar 1 VIAL, SINGLE-DOSE in 1 CARTON (72603-420... 5 mg/mL 100 $5.50 — ● Active CMS + PDAC
72266-0126-10 OXALIPLATIN (PF) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
72266-0125-10 OXALIPLATIN (PF) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
45963-0638-58 OXALIPLATIN (PF,LATEX-FREE) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
45963-0637-49 OXALIPLATIN (PF,LATEX-FREE) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
43066-0014-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Baxter 1 VIAL, SINGLE-USE in 1 CARTON (43066-014-... 5 mg/mL 10 $0.55 — ● Active PDAC
43066-0018-01 Oxaliplatin 5 mg/mL INJECTION, SOLUTION Baxter 1 VIAL, SINGLE-USE in 1 CARTON (43066-018-... 5 mg/mL 10 $0.55 — ● Active PDAC
68001-0341-37 OXALIPLATIN (PF) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
68001-0341-36 OXALIPLATIN (PF) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
16714-0728-01 OXALIPLATIN (1X20ML,SINGLE DOSE,PF) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
16714-0727-01 OXALIPLATIN (1X10ML,SINGLE DOSE,PF) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
51991-0219-98 OXALIPLATIN (SINGLE-USE,PF) 100 MG Unknown — — 200 $11.00 — — PDAC
51991-0218-98 OXALIPLATIN (SINGLE-USE,PF) 50 MG Unknown — — 100 $5.50 — — PDAC
70860-0201-20 OXALIPLATIN (MDV,PF,LATEX-FREE) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
70860-0201-10 OXALIPLATIN (MDV,PF,LATEX-FREE) 5 MG/1 ML Unknown — — 10 $0.55 — — PDAC
45963-0611-53 OXALIPLATIN (SDV,PF,LYOPHILIZED) 50 MG Unknown — — 100 $5.50 — — PDAC
45963-0611-59 OXALIPLATIN (SDV,PF,LYOPHILIZED) 100 MG Unknown — — 200 $11.00 — — 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
$201.6K
Claims
13,733
Beneficiaries
4,684
Spend / beneficiary
$43.04
Spend / claim
$14.68
Trend by period
Where J9263 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #525 of 824
#520 PRIMATRIX** Q4110 $215K #521 PEMETREXED DISODIUM(... J9294 $212.3K #522 BENDAMUSTINE HCL* J9033 $211.3K #523 HYCAMTIN J8705 $208.5K #524 UZEDY J2799 $206.9K #525 OXALIPLATIN J9263 $201.6K #526 ORION, PER SQ CM** Q4276 $197.2K #527 ARTACENT WOUND, PER... Q4169 $196.1K #528 ENVERSE, PER SQ CM** Q4258 $195.1K #529 FLEXHD** Q4128 $193.7K #530 IPRATROPIUM BROMIDE J7644 $193.1K
Total claims — #137 of 824
#132 IRON SUCROSE* J1756 15,220 #133 REBLOZYL J0896 15,092 #134 OMNIPAQUE Q9965 15,067 #135 DEFINITY RT* Q9957 14,931 #136 TRUXIMA Q5115 13,822 #137 OXALIPLATIN J9263 13,733 #138 MVASI Q5107 13,685 #139 ACTIVASE* J2997 13,490 #140 LUCENTIS J2778 13,447 #141 INFED J1750 13,385 #142 GENTAMICIN SULFATE I... J1580 13,327

Full breakdown by period (2)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2026 (Q1) $201.6K 4,684 13,733 $43.04 $14.68
2025 (Q1-Q4) $1.45M 11,730 61,432 $123.33 $23.55
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
$1.47M
Medicare paid
$1.14M
Submitted services
21,082,553
Denial rate
5.8%
Allowed / service
$0.07
Submitted charges
$314.41M
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 J9263 is utilized CMS · BY PROVIDER · 2024

Medicare Part B services for this code by the rendering provider's state — 7,035,422 services across 37 states & territories in 2024 (CMS reports include DC and U.S. territories). Switch to per 100k to compare states fairly regardless of population. Hover or tap a state for its top ZIP codes.
Hover or tap a state to see its numbers + top ZIP codes.
Per-capita = services ÷ 2023 state population × 100,000 (so high-population states aren't automatically "hotter"). Counts reflect the provider's location, not the patient's. Providers with fewer than 11 patients are hidden by CMS for privacy, so totals run low and per-100k can be noisy in small states — read this as relative geography, not exact counts. Source: CMS Medicare Physician & Other Practitioners — by Provider and Service, 2024.

📊 What bills under J9263

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
Oxaliplatin 18
oxaliplatin 3
NDC products by labeler
Meitheal Pharmaceuticals Inc. 5
Sandoz Inc 2
Baxter Healthcare Corporation 2
Eugia US LLC 2
Apotex Corp. 2
FOSUN PHARMA USA INC. 2
NorthStar Rx LLC 2
Northstar Rx LLC 2

🗃️ 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)
58 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.

❓ J9263 billing FAQ

What is HCPCS code J9263?
J9263 is a HCPCS Level II J-code used to bill Injection, oxaliplatin, 0.5 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J9263?
One unit of J9263 represents 0.5 MG. Report the number of units equal to the dose administered divided by 0.5 MG.
How many units of J9263 should I bill?
Divide the dose administered by the code's unit size (0.5 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 J9263?
The Medicare Part B payment limit is $0.055 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.054 per unit. Payment limits are revised quarterly.
Which NDCs bill under J9263?
58 NDCs currently map to J9263 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 J9263 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.