HCPCS J9033 (Treanda) 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 | • 11 - Office • None • 22 - On Campus Outpatient Hospital • 99 - Other POS |
| Complexity Level | Low |
| Medicare Payment Limit | $1.883  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 16729-0251-05 - BENDAMUSTINE HYDROCHLORIDE (SDV,PF,LATEX-FREE) 100 MG • 55150-0392-01 - BENDAMUSTINE HYDROCHLORIDE (SDV,PF,LATEX-FREE) 100 MG • 60505-6096-00 - BENDAMUSTINE HYDROCHLORIDE (SDV,PF,LATEX-FREE) 100 MG • 68001-0572-41 - BENDAMUSTINE HYDROCHLORIDE (SDV,DAIRY-FREE,DYE-FREE) 100 MG • 71288-0103-20 - BENDAMUSTINE HYDROCHLORIDE (SDV,PF,LATEX-FREE) 100 MG |
National average reimbursement for HCPCS J9033 by major payers:
$5.34
$4.01
$8.29
$6.38
| 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 J9033 | ||||||
United | J9033 | $1.79 | 1083858443 - TIAN ZHANG | 756002868 | TX | Medical Oncology Physician (207RX0202X) |
United | J9033 | $2.81 | 1346215001 - KEVIN COURTNEY | 756002868 | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9033 | $2.47 | 1245277698 - MINAL BARVE | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Medical Oncology Physician (207RX0202X) |
United | J9033 | $5.67 | 1285676544 - FAITH REGIONAL HEALTH SERVICES | 470796875 - (NE) FAITH REGIONAL HEALTH SERVICES | NE | General Acute Care Hospital (282N00000X) |
United | J9033 | $3.98 | 1356388870 - JAMES MACKEY | 550492006 - WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION | TX | Medical Oncology Physician (207RX0202X) |
United | J9033 | $1.79 | 1417916537 - RANDALL HUGHES | 756002868 | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9033 | $2.47 | 1003099813 - HENNA MALIK | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Medical Oncology Physician (207RX0202X) |
United | J9033 | $2.47 | 1952342123 - BRANDEN HSU | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9033 | $3.77 | 1962422733 - CAYUGA MEDICAL CENTER AT ITHACA | 222325405 - (NY) CAYUGA MEDICAL CENTER AT ITHACA | NY | General Acute Care Hospital (282N00000X) |
United | J9033 | $2.47 | 1992151153 - DAVID YIN | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9033 | $3.41 | 1427203819 - KATHY SAM | 760605200 - (TX) ONCOLOGY CONSULTANTS, P.A. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9033 | $2.21 | 1679911572 - EMAD HANNA | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | J9033 | $2.47 | 1386688232 - CELESTE WILCOX | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Medical Oncology Physician (207RX0202X) |
United | J9033 | $1.79 | 1629006457 - REGIONS HOSPITAL | 411843943 - UNIVERSITY OF MINNESOTA PHYSICIANS | MN | General Acute Care Hospital (282N00000X) |
United | J9033 | $1.85 | 1225281603 - EMORY CRAWFORD LONG HOSPITAL | 581537752 - EMORY UNIVERSITY | GA | General Acute Care Hospital (282N00000X) |
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 J9033 vs. Other Chemotherapy Drugs Codes
The HCPCS J9033 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 J9033 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 |
|---|---|---|
| 16729-0251-05-NDC | Moderate | BENDAMUSTINE HYDROCHLORIDE (SDV,PF,LATEX-FREE) 100 MG |
| J9032-HCPCS | Low | Injection, belinostat, 10 mg |
| J9033-HCPCS | Low | Injection, bendamustine HCL (treanda), 1 mg |
| J9034-HCPCS | Low | Injection, bendamustine HCL (bendeka), 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 J9033. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9033 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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