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J9299 Injection, nivolumab

J Codes (Drugs)

Also known as: nivolumab, Opdivo

Injection of nivolumab, a programmed cell death protein 1 (PD-1) monoclonal antibody. Immune checkpoint inhibitor for solid and hematologic malignancies.

In Plain Language

immunotherapy injection; cancer immune checkpoint drug

Clinical Context

Used for melanoma, non-small cell lung cancer, renal cell carcinoma, and Hodgkin lymphoma. Often given intravenously as monotherapy or combined with other agents.

RVU Information

CPT J9299 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

OncologyDermatologyPulmonology

Frequently Asked Questions

What is CPT code J9299?

CPT J9299 (Injection, nivolumab) is a J Codes (Drugs) code. Injection of nivolumab, a programmed cell death protein 1 (PD-1) monoclonal antibody. Immune checkpoint inhibitor for solid and hematologic malignancies.

How is J9299 administered?

CPT J9299 is administered by a healthcare provider, typically via injection or infusion. Used for melanoma, non-small cell lung cancer, renal cell carcinoma, and Hodgkin lymphoma. Often given intravenously as monotherapy or combined with other agents. It is used by Oncology, Dermatology, Pulmonology.

When is CPT J9299 used?

Used for melanoma, non-small cell lung cancer, renal cell carcinoma, and Hodgkin lymphoma. Often given intravenously as monotherapy or combined with other agents.

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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.