J9274 Injection, tebentafusp-tebn, 1 micrograms
Also known as: tebentafusp, Imlygic
Injection of tebentafusp-tebn, 1 microgram. A gp100 peptide-major histocompatibility complex bispecific molecule for melanoma immunotherapy.
In Plain Language
melanoma immune injection; targeted immunotherapy
Clinical Context
Used for HLA-A*02:01-positive melanoma with metastatic disease or unresectable primary tumors. Activates T-cells against gp100-expressing melanoma cells.
RVU Information
CPT J9274 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 J9274?
CPT J9274 (Injection, tebentafusp-tebn, 1 micrograms) is a J Codes (Drugs) code. Injection of tebentafusp-tebn, 1 microgram. A gp100 peptide-major histocompatibility complex bispecific molecule for melanoma immunotherapy.
How is J9274 administered?
CPT J9274 is administered by a healthcare provider, typically via injection or infusion. Used for HLA-A*02:01-positive melanoma with metastatic disease or unresectable primary tumors. Activates T-cells against gp100-expressing melanoma cells. It is used by Oncology, Dermatology, Immunology.
When is CPT J9274 used?
Used for HLA-A*02:01-positive melanoma with metastatic disease or unresectable primary tumors. Activates T-cells against gp100-expressing melanoma cells.
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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.