HCPCS J9022 (Tecentriq) Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Chemotherapy Drugs |
| Common Place of Service | • None • 11 - Office • 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicare Payment Limit | $91.34  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J9022 by major payers:
$95.56
$92.78
$96.31
$91.64
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS J9022 | ||||||
United | J9022 | $120.88 | 1710337399 - HAOTONG WANG | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9022 | $120.88 | 1780822478 - RACHEL THERIAULT | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Medical Oncology Physician (207RX0202X) |
United | J9022 | $88.22 | 1386724714 - MURALI CHINTAGUMPALA | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | J9022 | $120.88 | 1295778843 - STANTON GOLDMAN | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | J9022 | $88.22 | 1629011135 - SATISH DESAI | 202200336 - (TX) PARUL S DESAI MD PA | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9022 | $98.20 | 1487095691 - LISA CHAPA | 464001696 - (TX) RENAISSANCE SPECIALTY SURGERY / VICTOR HADDAD MD PA | TX | Surgical Oncology Physician (2086X0206X) |
United | J9022 | $93.51 | 1952351538 - RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC | 161751617 - (TX) RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS PLLC | TX | Rheumatology Physician (207RR0500X) |
United | J9022 | $235.57 | 1265638241 - EYAL MUSCAL | 232919472 - UPMC | TX | Pediatric Rheumatology Physician (2080P0216X) |
United | J9022 | $90.87 | 1730534165 - HAARIS BEG | 133278548 - (NY) MEMORIAL DEVELOPMENTAL CHEMO GROUP | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9022 | $95.48 | 1295798874 - ASIT CHOKSI | 412273820 - (TX) STEPHEN F AUSTIN COMMUNITY HEALTH CENTER INC | TX | Medical Oncology Physician (207RX0202X) |
United | J9022 | $169.38 | 1982086583 - NABILA ZAMIR | 752536818 - HEALTHTEXAS PROVIDER NETWORK | TX | Rheumatology Physician (207RR0500X) |
United | J9022 | $93.51 | 1295798874 - ASIT CHOKSI | 854192539 - (TX) CHN MEDICAL SUPPORT SYSTEMS | TX | Medical Oncology Physician (207RX0202X) |
United | J9022 | $88.22 | 1952400731 - CYNTHIA HERZOG | 760459500 - U T PHYSICIANS | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | J9022 | $104.98 | 1982086583 - NABILA ZAMIR | 232700908 - LEHIGH VALLEY PHYSICIAN GROUP | TX | Rheumatology Physician (207RR0500X) |
United | J9022 | $98.20 | 1295798874 - ASIT CHOKSI | 814211188 - (TX) TEXIENNE PHYSICIANS MEDICAL ASSOCIATION PLLC | TX | Medical Oncology Physician (207RX0202X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS J9022 vs. Other Chemotherapy Drugs Codes
The HCPCS J9022 code is part of the Chemotherapy Drugs services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J9022 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| J9021-HCPCS | Low | Injection, asparaginase, recombinant, (rylaze), 0.1 mg |
| J9022-HCPCS | Low | Injection, atezolizumab, 10 mg |
| J9023-HCPCS | Low | Injection, avelumab, 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9022. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9022 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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