J9023 Injection, avelumab, 10 milligrams
Also known as: Bavencio, Avelumab
Avelumab administered by injection at 10 milligrams per dose; a programmed death-ligand 1 inhibitor immunotherapy used for malignancies.
In Plain Language
Immune checkpoint inhibitor injection; Cancer immunotherapy
Clinical Context
Used for Merkel cell carcinoma and urothelial carcinoma. Programmed death-ligand 1 inhibitor that enhances anti-tumor immune response.
RVU Information
CPT J9023 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 J9023?
CPT J9023 (Injection, avelumab, 10 milligrams) is a J Codes (Drugs) code. Avelumab administered by injection at 10 milligrams per dose; a programmed death-ligand 1 inhibitor immunotherapy used for malignancies.
How is J9023 administered?
CPT J9023 is administered by a healthcare provider, typically via injection or infusion. Used for Merkel cell carcinoma and urothelial carcinoma. Programmed death-ligand 1 inhibitor that enhances anti-tumor immune response. It is used by Oncology, Dermatology, Immunology.
When is CPT J9023 used?
Used for Merkel cell carcinoma and urothelial carcinoma. Programmed death-ligand 1 inhibitor that enhances anti-tumor immune response.
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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.