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J9055 Cetuximab injection

J Codes (Drugs)

Also known as: cetuximab, Erbitux

Intravenous injection of cetuximab, a chimeric monoclonal antibody targeting epidermal growth factor receptor (EGFR).

In Plain Language

growth receptor blocking antibody; targeted cancer therapy

Clinical Context

Used for EGFR-expressing colorectal cancers and head and neck cancers, enhancing chemotherapy and radiation effects.

RVU Information

CPT J9055 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

OncologyMedical Oncology

Frequently Asked Questions

What is CPT code J9055?

CPT J9055 (Cetuximab injection) is a J Codes (Drugs) code. Intravenous injection of cetuximab, a chimeric monoclonal antibody targeting epidermal growth factor receptor (EGFR).

How is J9055 administered?

CPT J9055 is administered by a healthcare provider, typically via injection or infusion. Used for EGFR-expressing colorectal cancers and head and neck cancers, enhancing chemotherapy and radiation effects. It is used by Oncology, Medical Oncology.

When is CPT J9055 used?

Used for EGFR-expressing colorectal cancers and head and neck cancers, enhancing chemotherapy and radiation effects.

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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.