J9356 Injection. herceptin hylecta, 10mg
Also known as: trastuzumab hyaluronidase, Herceptin Hylecta
Injection of trastuzumab (Herceptin Hylecta), 10 milligram. Subcutaneous formulation of trastuzumab with recombinant human hyaluronidase.
In Plain Language
breast cancer injection; HER2 targeted therapy
Clinical Context
Subcutaneous formulation of trastuzumab for HER2-positive breast cancer. Enhanced bioavailability via hyaluronidase.
RVU Information
CPT J9356 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 J9356?
CPT J9356 (Injection. herceptin hylecta, 10mg) is a J Codes (Drugs) code. Injection of trastuzumab (Herceptin Hylecta), 10 milligram. Subcutaneous formulation of trastuzumab with recombinant human hyaluronidase.
How is J9356 administered?
CPT J9356 is administered by a healthcare provider, typically via injection or infusion. Subcutaneous formulation of trastuzumab for HER2-positive breast cancer. Enhanced bioavailability via hyaluronidase. It is used by Oncology, Surgery, Internal Medicine.
When is CPT J9356 used?
Subcutaneous formulation of trastuzumab for HER2-positive breast cancer. Enhanced bioavailability via hyaluronidase.
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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.