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See a sample rate comparisonHCPCS J8999 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Prescription drug, oral, chemotherapeutic, NOS
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Chemotherapy Drugs, Oral and IV Administration |
| Common Place of Service | 99 - Other POS None |
| Complexity Level | Low |
| Related NDC Codes | • 00009-7663-04 - AROMASIN 25 MG • 00054-0249-13 - IMATINIB MESYLATE (FILM COATED) 400 MG • 00054-4581-11 - MERCAPTOPURINE (USP) 50 MG • 00054-4581-27 - MERCAPTOPURINE (USP) 50 MG • 00078-0438-15 - GLEEVEC (FILM-COATED) 400 MG |
National average reimbursement for HCPCS J8999 by major payers:
$8.80
$70.00
$1.09
$0.23
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HCPCS J8999
5 of 25 sample ratesHigher to lower in this preview
North Shore Medical Center, Inc., North Shore Medical Center
North Shore Medical Center Inc
$60.00Published rateHialeah Hospital Inc., Hialeah Hospital
$60.00Published rateVariety Children'S Hospital, Nicklaus Children'S Hospital
Variety Childrens Hospital
$55.00Published rateNorth Shore Medical Center, Inc., North Shore Medical Center
$40.00Published rateOur Lady Of The Lake Rmc
Our Lady Of The Lake Hospital Inc
$23.52Published rate
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See a sample payer proposalHCPCS J8999 vs. Other Chemotherapy Drugs, Oral and IV Administration Codes
The HCPCS J8999 code is part of the Drugs Administered Other than Oral Method services used for Chemotherapy Drugs, Oral and IV Administration. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J8999 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00009-7663-04-NDC | Moderate | AROMASIN 25 MG |
| 00054-0249-13-NDC | Moderate | IMATINIB MESYLATE (FILM COATED) 400 MG |
| 00054-4581-11-NDC | Moderate | MERCAPTOPURINE (USP) 50 MG |
| J8999-HCPCS | Low | Prescription drug, oral, chemotherapeutic, NOS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J8999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J8999 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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