HCPCS code J9035 — Bevacizumab injection.
Status: Active.
Effective Jan 1, 2005.
Source: CMS HCPCS Level II.
J9035
ActiveBevacizumab injection
Injection, bevacizumab, 10 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2005
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9214
Drug class:
VEGF Inhibitors
Medicare Part B utilization — 2023
Services billed
2,400,000
Beneficiaries
145,000
Medicare paid
$176,000,000
Avg per service
$91.67
Source: Medicare Part B Provider Utilization Public Use File (anonymized, aggregated to HCPCS level).
MUE — Medically Unlikely Edits
Maximum units of J9035 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 230 |
| Practitioner Services | 230 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 50242-0060-01 | Avastin |
| 50242-0061-01 | Avastin |