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See a sample rate comparisonHealthcare 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 |
| Medicaid Fee Schedule | View Medicaid rates for J9033 |
| Medicare Payment Limit | |
| 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
Choose a payer to see a sample of rates for HCPCS J9033.
Oncology Consultants, P.A.
Us Oncology Corporate, Inc.
New York City Health And Hospitals Corporation
Caromont Medical Group Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS 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 |
| 55150-0392-01-NDC | Moderate | BENDAMUSTINE HYDROCHLORIDE (SDV,PF,LATEX-FREE) 100 MG |
| 60505-6096-00-NDC | Moderate | BENDAMUSTINE HYDROCHLORIDE (SDV,PF,LATEX-FREE) 100 MG |
| J9033-HCPCS | Low | Injection, bendamustine hydrochloride, 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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