In short

Tivdak is billed under HCPCS J9273 — Injection, tisotumab vedotin-tftv, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Tivdak NDC under this code.

J9273 code details

Reference

J9273
Injection, tisotumab vedotin-tftv, 1 mgBilling unit: 1 mg
Labelers
Pfizer Inc

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$196.121
Per1 mg
Coinsurance19.149%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Tivdak units and claim line

Enter the dose given to get the J9273 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Tivdak NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Tivdak NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
51144-0003-01J9273Pfizer Inc140

Tivdak: common questions

What is the J-code for Tivdak?
Tivdak is billed under HCPCS J9273 — Injection, tisotumab vedotin-tftv, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Tivdak NDC under this code.
How many J9273 billing units are in a package of Tivdak?
CMS lists 40 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
Is J9273 a CPT code?
No. J9273 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in