J9268 Pentostatin injection
Also known as: pentostatin, Nipent
Injection of pentostatin, a deoxyadenosine analog and purine analog inhibitor. Used for T-cell malignancies.
In Plain Language
lymphoma injection; T-cell cancer treatment
Clinical Context
Used for hairy cell leukemia and cutaneous T-cell lymphomas including mycosis fungoides. Effective in patients who have failed other treatments.
RVU Information
CPT J9268 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J9268?
CPT J9268 (Pentostatin injection) is a J Codes (Drugs) code. Injection of pentostatin, a deoxyadenosine analog and purine analog inhibitor. Used for T-cell malignancies.
How is J9268 administered?
CPT J9268 is administered by a healthcare provider, typically via injection or infusion. Used for hairy cell leukemia and cutaneous T-cell lymphomas including mycosis fungoides. Effective in patients who have failed other treatments. It is used by Oncology, Hematology, Dermatology.
When is CPT J9268 used?
Used for hairy cell leukemia and cutaneous T-cell lymphomas including mycosis fungoides. Effective in patients who have failed other treatments.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.