Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

J9000 - J9999  Chemotherapy Drugs

J9000
Injection, doxorubicin hydrochloride, 10 mg
shortDoxorubicin hcl injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA20.03 Date of Service Edit: ClinicalClinical: Data
OPH20.03 Date of Service Edit: ClinicalClinical: Data
DME20.03 Date of Service Edit: ClinicalClinical: Data
J9010
Injection, alemtuzumab, 10 mg
shortAlemtuzumab injection
J9015
Injection, aldesleukin, per single use vial
shortAldesleukin injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalClinical: Data
OPH1.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9017
Injection, arsenic trioxide, 1 mg
shortArsenic trioxide injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA30.03 Date of Service Edit: ClinicalClinical: Data
OPH30.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9019
Injection, asparaginase (erwinaze), 1,000 iu
shortErwinaze injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA60.03 Date of Service Edit: ClinicalPrescribing Information
OPH60.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9020
Injection, asparaginase, not otherwise specified, 10,000 units
shortAsparaginase, nos
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalDrug discontinued
OPH0.03 Date of Service Edit: ClinicalDrug discontinued
DME0.03 Date of Service Edit: ClinicalDrug discontinued
J9022
Injection, atezolizumab, 10 mg
shortInj, atezolizumab,10 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA168.03 Date of Service Edit: ClinicalPrescribing Information
OPH168.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9023
Injection, avelumab, 10 mg
shortInjection, avelumab, 10 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA140.03 Date of Service Edit: ClinicalClinical: Data
OPH140.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9025
Injection, azacitidine, 1 mg
shortAzacitidine injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA300.03 Date of Service Edit: ClinicalPrescribing Information
OPH300.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9027
Injection, clofarabine, 1 mg
shortClofarabine injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA100.03 Date of Service Edit: ClinicalClinical: Data
OPH100.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9030
Bcg live intravesical instillation, 1 mg
shortBcg live intravesical 1mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA50.03 Date of Service Edit: ClinicalPrescribing Information
OPH50.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9031
Bcg (intravesical) per instillation
shortBcg live intravesical vac
J9032
Injection, belinostat, 10 mg
shortInjection, belinostat, 10mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA300.03 Date of Service Edit: ClinicalPrescribing Information
OPH300.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9033
Injection, bendamustine hcl (treanda), 1 mg
shortInj., treanda 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA300.03 Date of Service Edit: ClinicalPrescribing Information
OPH300.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9034
Injection, bendamustine hcl (bendeka), 1 mg
shortInj., bendeka 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA360.03 Date of Service Edit: ClinicalPrescribing Information
OPH360.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9035
Injection, bevacizumab, 10 mg
shortBevacizumab injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA170.03 Date of Service Edit: ClinicalClinical: Data
OPH170.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9036
Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg
shortInj. belrapzo/bendamustine
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA360.03 Date of Service Edit: ClinicalPrescribing Information
OPH360.03 Date of Service Edit: ClinicalPrescribing Information
J9039
Injection, blinatumomab, 1 microgram
shortInjection, blinatumomab
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA210.03 Date of Service Edit: ClinicalPrescribing Information
OPH210.03 Date of Service Edit: ClinicalPrescribing Information
J9040
Injection, bleomycin sulfate, 15 units
shortBleomycin sulfate injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalPrescribing Information
OPH4.03 Date of Service Edit: ClinicalPrescribing Information
DME4.03 Date of Service Edit: ClinicalPrescribing Information
J9041
Injection, bortezomib (velcade), 0.1 mg
shortInj., velcade 0.1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA35.03 Date of Service Edit: ClinicalClinical: Data
OPH35.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9042
Injection, brentuximab vedotin, 1 mg
shortBrentuximab vedotin inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA200.03 Date of Service Edit: ClinicalPrescribing Information
OPH200.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9043
Injection, cabazitaxel, 1 mg
shortCabazitaxel injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA60.03 Date of Service Edit: ClinicalPrescribing Information
OPH60.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9044
Injection, bortezomib, not otherwise specified, 0.1 mg
shortInj, bortezomib, nos, 0.1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA35.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH35.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9045
Injection, carboplatin, 50 mg
shortCarboplatin injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA22.03 Date of Service Edit: ClinicalPrescribing Information
OPH22.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9047
Injection, carfilzomib, 1 mg
shortInjection, carfilzomib, 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA160.03 Date of Service Edit: ClinicalPrescribing Information
OPH160.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9050
Injection, carmustine, 100 mg
shortCarmustine injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA6.03 Date of Service Edit: ClinicalPrescribing Information
OPH6.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9055
Injection, cetuximab, 10 mg
shortCetuximab injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA120.03 Date of Service Edit: ClinicalPrescribing Information
OPH120.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9057
Injection, copanlisib, 1 mg
shortInj., copanlisib, 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA60.03 Date of Service Edit: ClinicalPrescribing Information
OPH60.03 Date of Service Edit: ClinicalPrescribing Information
J9060
Injection, cisplatin, powder or solution, 10 mg
shortCisplatin 10 mg injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA24.03 Date of Service Edit: ClinicalPrescribing Information
OPH24.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9065
Injection, cladribine, per 1 mg
shortInj cladribine per 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA100.03 Date of Service Edit: ClinicalPrescribing Information
OPH100.03 Date of Service Edit: ClinicalPrescribing Information
DME100.03 Date of Service Edit: ClinicalPrescribing Information
J9070
Cyclophosphamide, 100 mg
shortCyclophosphamide 100 mg inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA55.03 Date of Service Edit: ClinicalClinical: Data
OPH55.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9098
Injection, cytarabine liposome, 10 mg
shortCytarabine liposome inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA5.03 Date of Service Edit: ClinicalPrescribing Information
OPH5.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9100
Injection, cytarabine, 100 mg
shortCytarabine hcl 100 mg inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA120.03 Date of Service Edit: ClinicalClinical: Society Comment
OPH120.03 Date of Service Edit: ClinicalClinical: Society Comment
DME60.03 Date of Service Edit: ClinicalClinical: Data
J9118
Injection, calaspargase pegol-mknl, 10 units
shortInj. calaspargase pegol-mknl
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
J9119
Injection, cemiplimab-rwlc, 1 mg
shortInj., cemiplimab-rwlc, 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA350.03 Date of Service Edit: ClinicalPrescribing Information
OPH350.03 Date of Service Edit: ClinicalPrescribing Information
J9120
Injection, dactinomycin, 0.5 mg
shortDactinomycin injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA5.03 Date of Service Edit: ClinicalClinical: Data
OPH5.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9130
Dacarbazine, 100 mg
shortDacarbazine 100 mg inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA24.03 Date of Service Edit: ClinicalClinical: Society Comment
OPH24.03 Date of Service Edit: ClinicalClinical: Society Comment
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9145
Injection, daratumumab, 10 mg
shortInjection, daratumumab 10 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA240.03 Date of Service Edit: ClinicalPrescribing Information
OPH240.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9150
Injection, daunorubicin, 10 mg
shortDaunorubicin injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA12.03 Date of Service Edit: ClinicalClinical: Data
OPH12.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9151
Injection, daunorubicin citrate, liposomal formulation, 10 mg
shortDaunorubicin citrate inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA12.03 Date of Service Edit: ClinicalPrescribing Information
OPH12.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9153
Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine
shortInj daunorubicin, cytarabine
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA132.03 Date of Service Edit: ClinicalPrescribing Information
OPH132.03 Date of Service Edit: ClinicalPrescribing Information
J9155
Injection, degarelix, 1 mg
shortDegarelix injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA240.03 Date of Service Edit: ClinicalPrescribing Information
OPH240.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9160
Injection, denileukin diftitox, 300 micrograms
shortDenileukin diftitox inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA7.03 Date of Service Edit: ClinicalPrescribing Information
OPH0.03 Date of Service Edit: ClinicalCMS Policy
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9165
Injection, diethylstilbestrol diphosphate, 250 mg
shortDiethylstilbestrol injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalDrug discontinued
OPH0.03 Date of Service Edit: ClinicalDrug discontinued
DME0.03 Date of Service Edit: ClinicalDrug discontinued
J9171
Injection, docetaxel, 1 mg
shortDocetaxel injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA240.03 Date of Service Edit: ClinicalPrescribing Information
OPH240.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9173
Injection, durvalumab, 10 mg
shortInj., durvalumab, 10 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA150.03 Date of Service Edit: ClinicalPrescribing Information
OPH150.03 Date of Service Edit: ClinicalPrescribing Information
J9175
Injection, elliotts' b solution, 1 ml
shortElliotts b solution per ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA10.03 Date of Service Edit: ClinicalClinical: Data
OPH10.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9176
Injection, elotuzumab, 1 mg
shortInjection, elotuzumab, 1mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA3000.03 Date of Service Edit: ClinicalPrescribing Information
OPH3000.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9178
Injection, epirubicin hcl, 2 mg
shortInj, epirubicin hcl, 2 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA150.03 Date of Service Edit: ClinicalClinical: Data
OPH150.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9179
Injection, eribulin mesylate, 0.1 mg
shortEribulin mesylate injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA50.03 Date of Service Edit: ClinicalPrescribing Information
OPH50.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9181
Injection, etoposide, 10 mg
shortEtoposide injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA100.03 Date of Service Edit: ClinicalClinical: Society Comment
OPH100.03 Date of Service Edit: ClinicalClinical: Society Comment
DME11.03 Date of Service Edit: ClinicalPrescribing Information
J9185
Injection, fludarabine phosphate, 50 mg
shortFludarabine phosphate inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalPrescribing Information
OPH2.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9190
Injection, fluorouracil, 500 mg
shortFluorouracil injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA20.03 Date of Service Edit: ClinicalClinical: Data
OPH20.03 Date of Service Edit: ClinicalClinical: Data
DME20.03 Date of Service Edit: ClinicalClinical: Data
J9199
Injection, gemcitabine hydrochloride (infugem), 200 mg
shortInjection, infugem, 200 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
J9200
Injection, floxuridine, 500 mg
shortFloxuridine injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA5.03 Date of Service Edit: ClinicalClinical: Data
OPH20.03 Date of Service Edit: ClinicalClinical: Data
DME16.03 Date of Service Edit: ClinicalClinical: Data
J9201
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg
shortIn gemcitabine hcl nos 200mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA20.03 Date of Service Edit: ClinicalPrescribing Information
OPH20.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9202
Goserelin acetate implant, per 3.6 mg
shortGoserelin acetate implant
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA3.03 Date of Service Edit: ClinicalPrescribing Information
OPH3.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9203
Injection, gemtuzumab ozogamicin, 0.1 mg
shortGemtuzumab ozogamicin 0.1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA180.03 Date of Service Edit: ClinicalPrescribing Information
OPH180.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9204
Injection, mogamulizumab-kpkc, 1 mg
shortInj mogamulizumab-kpkc, 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA160.03 Date of Service Edit: ClinicalPrescribing Information
OPH160.03 Date of Service Edit: ClinicalPrescribing Information
J9205
Injection, irinotecan liposome, 1 mg
shortInj irinotecan liposome 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA215.03 Date of Service Edit: ClinicalPrescribing Information
OPH215.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9206
Injection, irinotecan, 20 mg
shortIrinotecan injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA42.03 Date of Service Edit: ClinicalPrescribing Information
OPH42.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9207
Injection, ixabepilone, 1 mg
shortIxabepilone injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA90.03 Date of Service Edit: ClinicalClinical: Data
OPH90.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9208
Injection, ifosfamide, 1 gram
shortIfosfamide injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA15.03 Date of Service Edit: ClinicalClinical: Data
OPH15.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9209
Injection, mesna, 200 mg
shortMesna injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA55.03 Date of Service Edit: ClinicalClinical: Data
OPH55.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9210
Injection, emapalumab-lzsg, 1 mg
shortInj., emapalumab-lzsg, 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
J9211
Injection, idarubicin hydrochloride, 5 mg
shortIdarubicin hcl injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA6.03 Date of Service Edit: ClinicalPrescribing Information
OPH6.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9212
Injection, interferon alfacon-1, recombinant, 1 microgram
shortInterferon alfacon-1 inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalDrug discontinued
OPH0.03 Date of Service Edit: ClinicalDrug discontinued
DME0.03 Date of Service Edit: ClinicalDrug discontinued
J9213
Injection, interferon, alfa-2a, recombinant, 3 million units
shortInterferon alfa-2a inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA12.03 Date of Service Edit: ClinicalPrescribing Information
OPH12.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9214
Injection, interferon, alfa-2b, recombinant, 1 million units
shortInterferon alfa-2b inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA100.03 Date of Service Edit: ClinicalClinical: Data
OPH100.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9215
Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu
shortInterferon alfa-n3 inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalDrug discontinued
OPH0.03 Date of Service Edit: ClinicalDrug discontinued
DME0.03 Date of Service Edit: ClinicalDrug discontinued
J9216
Injection, interferon, gamma 1-b, 3 million units
shortInterferon gamma 1-b inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalPrescribing Information
OPH0.03 Date of Service Edit: ClinicalCMS Policy
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9217
Leuprolide acetate (for depot suspension), 7.5 mg
shortLeuprolide acetate suspnsion
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA6.03 Date of Service Edit: ClinicalPrescribing Information
OPH6.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9218
Leuprolide acetate, per 1 mg
shortLeuprolide acetate injeciton
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalPrescribing Information
OPH1.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9219
Leuprolide acetate implant, 65 mg
shortLeuprolide acetate implant
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalPrescribing Information
OPH0.03 Date of Service Edit: ClinicalCMS Policy
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9225
Histrelin implant (vantas), 50 mg
shortVantas implant
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalPrescribing Information
OPH1.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9226
Histrelin implant (supprelin la), 50 mg
shortSupprelin la implant
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalPrescribing Information
OPH1.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9228
Injection, ipilimumab, 1 mg
shortIpilimumab injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1100.03 Date of Service Edit: ClinicalPrescribing Information
OPH1100.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9229
Injection, inotuzumab ozogamicin, 0.1 mg
shortInj inotuzumab ozogam 0.1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA27.03 Date of Service Edit: ClinicalPrescribing Information
OPH27.03 Date of Service Edit: ClinicalPrescribing Information
J9230
Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg
shortMechlorethamine hcl inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA5.03 Date of Service Edit: ClinicalPrescribing Information
OPH5.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9245
Injection, melphalan hydrochloride, 50 mg
shortInj melphalan hydrochl 50 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA9.03 Date of Service Edit: ClinicalClinical: Society Comment
OPH11.03 Date of Service Edit: ClinicalClinical: Society Comment
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9250
Methotrexate sodium, 5 mg
shortMethotrexate sodium inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA25.03 Date of Service Edit: ClinicalClinical: Data
OPH50.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9260
Methotrexate sodium, 50 mg
shortMethotrexate sodium inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA20.03 Date of Service Edit: ClinicalClinical: Data
OPH20.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9261
Injection, nelarabine, 50 mg
shortNelarabine injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA80.03 Date of Service Edit: ClinicalPrescribing Information
OPH80.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9262
Injection, omacetaxine mepesuccinate, 0.01 mg
shortInj, omacetaxine mep, 0.01mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA700.03 Date of Service Edit: ClinicalPrescribing Information
OPH700.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9263
Injection, oxaliplatin, 0.5 mg
shortOxaliplatin
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA700.03 Date of Service Edit: ClinicalClinical: Data
OPH700.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9264
Injection, paclitaxel protein-bound particles, 1 mg
shortPaclitaxel protein bound
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA600.03 Date of Service Edit: ClinicalClinical: Data
OPH600.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9265
Injection, paclitaxel, 30 mg
shortPaclitaxel injection
J9266
Injection, pegaspargase, per single dose vial
shortPegaspargase injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalPrescribing Information
OPH2.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9267
Injection, paclitaxel, 1 mg
shortPaclitaxel injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA750.03 Date of Service Edit: ClinicalPrescribing Information
OPH750.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9268
Injection, pentostatin, 10 mg
shortPentostatin injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalPrescribing Information
OPH1.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9269
Injection, tagraxofusp-erzs, 10 micrograms
shortInj. tagraxofusp-erzs 10 mcg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
J9270
Injection, plicamycin, 2.5 mg
shortPlicamycin (mithramycin) inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalDrug discontinued
OPH0.03 Date of Service Edit: ClinicalDrug discontinued
DME0.03 Date of Service Edit: ClinicalDrug discontinued
J9271
Injection, pembrolizumab, 1 mg
shortInj pembrolizumab
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA300.03 Date of Service Edit: ClinicalPrescribing Information
OPH300.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9280
Injection, mitomycin, 5 mg
shortMitomycin injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA12.03 Date of Service Edit: ClinicalPrescribing Information
OPH12.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9285
Injection, olaratumab, 10 mg
shortInj, olaratumab, 10 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA200.03 Date of Service Edit: ClinicalClinical: Data
OPH200.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9293
Injection, mitoxantrone hydrochloride, per 5 mg
shortMitoxantrone hydrochl / 5 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA8.03 Date of Service Edit: ClinicalClinical: Data
OPH8.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9295
Injection, necitumumab, 1 mg
shortInjection, necitumumab, 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA800.03 Date of Service Edit: ClinicalPrescribing Information
OPH800.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9299
Injection, nivolumab, 1 mg
shortInjection, nivolumab
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA480.03 Date of Service Edit: ClinicalPrescribing Information
OPH480.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9300
Injection, gemtuzumab ozogamicin, 5 mg
shortGemtuzumab ozogamicin inj
J9301
Injection, obinutuzumab, 10 mg
shortObinutuzumab inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA100.03 Date of Service Edit: ClinicalPrescribing Information
OPH100.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9302
Injection, ofatumumab, 10 mg
shortOfatumumab injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA200.03 Date of Service Edit: ClinicalPrescribing Information
OPH200.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9303
Injection, panitumumab, 10 mg
shortPanitumumab injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA90.03 Date of Service Edit: ClinicalPrescribing Information
OPH90.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9305
Injection, pemetrexed, 10 mg
shortPemetrexed injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA150.03 Date of Service Edit: ClinicalPrescribing Information
OPH150.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9306
Injection, pertuzumab, 1 mg
shortInjection, pertuzumab, 1 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA840.03 Date of Service Edit: ClinicalPrescribing Information
OPH840.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9307
Injection, pralatrexate, 1 mg
shortPralatrexate injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA60.03 Date of Service Edit: ClinicalClinical: Data
OPH80.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9308
Injection, ramucirumab, 5 mg
shortInjection, ramucirumab
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA280.03 Date of Service Edit: ClinicalClinical: Data
OPH280.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9309
Injection, polatuzumab vedotin-piiq, 1 mg
shortInj, polatuzumab vedotin 1mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
J9310
Injection, rituximab, 100 mg
shortRituximab injection
J9311
Injection, rituximab 10 mg and hyaluronidase
shortInj rituximab, hyaluronidase
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA160.03 Date of Service Edit: ClinicalPrescribing Information
OPH160.03 Date of Service Edit: ClinicalPrescribing Information
J9312
Injection, rituximab, 10 mg
shortInj., rituximab, 10 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA150.03 Date of Service Edit: ClinicalPrescribing Information
OPH150.03 Date of Service Edit: ClinicalPrescribing Information
J9313
Injection, moxetumomab pasudotox-tdfk, 0.01 mg
shortInj., lumoxiti, 0.01 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA600.03 Date of Service Edit: ClinicalPrescribing Information
OPH600.03 Date of Service Edit: ClinicalPrescribing Information
J9315
Injection, romidepsin, 1 mg
shortRomidepsin injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA40.03 Date of Service Edit: ClinicalPrescribing Information
OPH40.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9320
Injection, streptozocin, 1 gram
shortStreptozocin injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalPrescribing Information
OPH4.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9325
Injection, talimogene laherparepvec, per 1 million plaque forming units
shortInj talimogene laherparepvec
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA400.03 Date of Service Edit: ClinicalPrescribing Information
OPH400.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9328
Injection, temozolomide, 1 mg
shortTemozolomide injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA400.03 Date of Service Edit: ClinicalClinical: Data
OPH400.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9330
Injection, temsirolimus, 1 mg
shortTemsirolimus injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA50.03 Date of Service Edit: ClinicalPrescribing Information
OPH50.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9340
Injection, thiotepa, 15 mg
shortThiotepa injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: Data
OPH4.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9351
Injection, topotecan, 0.1 mg
shortTopotecan injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA120.03 Date of Service Edit: ClinicalClinical: Society Comment
OPH120.03 Date of Service Edit: ClinicalClinical: Society Comment
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9352
Injection, trabectedin, 0.1 mg
shortInjection trabectedin 0.1mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA40.03 Date of Service Edit: ClinicalPrescribing Information
OPH40.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9354
Injection, ado-trastuzumab emtansine, 1 mg
shortInj, ado-trastuzumab emt 1mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA600.03 Date of Service Edit: ClinicalPrescribing Information
OPH600.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9355
Injection, trastuzumab, excludes biosimilar, 10 mg
shortInj trastuzumab excl biosimi
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA105.03 Date of Service Edit: ClinicalCMS Policy
OPH105.03 Date of Service Edit: ClinicalCMS Policy
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9356
Injection, trastuzumab, 10 mg and hyaluronidase-oysk
shortInj. herceptin hylecta, 10mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA60.03 Date of Service Edit: ClinicalPrescribing Information
OPH60.03 Date of Service Edit: ClinicalPrescribing Information
J9357
Injection, valrubicin, intravesical, 200 mg
shortValrubicin injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalPrescribing Information
OPH4.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9360
Injection, vinblastine sulfate, 1 mg
shortVinblastine sulfate inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA40.03 Date of Service Edit: ClinicalPrescribing Information
OPH40.03 Date of Service Edit: ClinicalPrescribing Information
DME45.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
J9370
Vincristine sulfate, 1 mg
shortVincristine sulfate 1 mg inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: Data
OPH4.03 Date of Service Edit: ClinicalClinical: Data
DME4.03 Date of Service Edit: ClinicalClinical: Data
J9371
Injection, vincristine sulfate liposome, 1 mg
shortInj, vincristine sul lip 1mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA5.03 Date of Service Edit: ClinicalPrescribing Information
OPH5.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9390
Injection, vinorelbine tartrate, 10 mg
shortVinorelbine tartrate inj
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA36.03 Date of Service Edit: ClinicalPrescribing Information
OPH36.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9395
Injection, fulvestrant, 25 mg
shortInjection, fulvestrant
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA20.03 Date of Service Edit: ClinicalPrescribing Information
OPH20.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9400
Injection, ziv-aflibercept, 1 mg
shortInj, ziv-aflibercept, 1mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA500.03 Date of Service Edit: ClinicalClinical: Data
OPH500.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9600
Injection, porfimer sodium, 75 mg
shortPorfimer sodium injection
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalPrescribing Information
OPH4.03 Date of Service Edit: ClinicalPrescribing Information
DME0.03 Date of Service Edit: ClinicalCMS Policy
J9999
Not otherwise classified, antineoplastic drugs
shortChemotherapy drug
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalPublished Contractor Policy