HCPCS J9032 (Beleodaq) 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 |
| Complexity Level | Low |
| Medicare Payment Limit | $52.474  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J9032 by major payers:
$55.42
$53.61
$53.88
$53.09
| 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 J9032 | ||||||
United | J9032 | $59.83 | 1063480010 - HENRY TSAI | 852303328 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9032 | $49.95 | 1497792527 - UNIVERSITY HEALTHCARE SYSTEM, L.C., TULANE LAKESIDE HOSPITAL | 621596506 | LA | General Acute Care Hospital (282N00000X) |
United | J9032 | $50.27 | 1134461726 - TIANA GRIECO | 465285330 - VALLEY PHYSICIAN SERVICES PC | NY | General Acute Care Hospital (282N00000X) |
United | J9032 | $50.09 | 1437121886 - STANISLAUS SURGICAL HOSPITAL LLC, STANISLAUS SURGICAL HOSPITAL | 911754157 - (CA) STANISLAUS SURGICAL HOSPITAL, LLC | CA | General Acute Care Hospital (282N00000X) |
United | J9032 | $67.12 | 1366505463 - CLIFTON SPRINGS SANITARIUM CO, CLIFTON SPRINGS HOSPITAL AND CLINIC | 160743966 - (NY) CLIFTON SPRINGS SANITARIUM CO | NY | General Acute Care Hospital (282N00000X) |
United | J9032 | $33.24 | 1316023476 - SVETLANA GRINBLAT | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | J9032 | $50.27 | 1770543399 - RUSH MEDICAL FOUNDATION, OCHSNER RUSH MEDICAL CENTER | 640834532 - (MS) MEDICAL FOUNDATION INC NON PROFIT ORGANIZATION | MS | General Acute Care Hospital (282N00000X) |
United | J9032 | $40.22 | 1467699405 - SIMON BADIN | 222616015 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9032 | $54.91 | 1235296278 - BRIGHAM AND WOMEN'S HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | MA | General Acute Care Hospital (282N00000X) |
United | J9032 | $64.58 | 1982879128 - JOSHUA RICHTER | 611661781 | NJ | Medical Oncology Physician (207RX0202X) |
United | J9032 | $55.31 | 1326073677 - SETH BERK | 223141761 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9032 | $45.25 | 1528071164 - ALICE COHEN | 454832340 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9032 | $55.25 | 1124251293 - RAHUL PARIKH | 133333014 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9032 | $43.91 | 1578554630 - SUNY HEALTH SCIENCE CENTER AT SYRACUSE, UPSTATE MEDICAL UNIVERSITY | 161469571 | NY | General Acute Care Hospital (282N00000X) |
United | J9032 | $50.27 | 1083710842 - WILLIAM KESSLER | 460961495 | NJ | 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 J9032 vs. Other Chemotherapy Drugs Codes
The HCPCS J9032 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 J9032 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 |
|---|---|---|
| J9030-HCPCS | Low | BCG live intravesical instillation, 1 mg |
| J9032-HCPCS | Low | Injection, belinostat, 10 mg |
| J9033-HCPCS | Low | Injection, bendamustine HCL (treanda), 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9032. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9032 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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