HCPCS J9229 (Besponsa) Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-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 | High |
| Medicare Payment Limit | $2698.053  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J9229 by major payers:
$2,710.61
$2,803.30
$2,859.47
$2,774.18
| 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 J9229 | ||||||
United | J9229 | $2434.05 | 1912932765 - MARK LEVIN | 264709927 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $3056.85 | 1831234954 - THE MINNITI CENTER FOR MEDICAL ONCOLOGY AND HEMATOLOGY | 221929064 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $2923.93 | 1346202439 - MICHELE DONATO | 223141761 | NJ | Medical Oncology Physician (207RX0202X) |
United | J9229 | $2804.33 | 1538145123 - JOSEPH LATTANZI | 223376459 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9229 | $2923.93 | 1053397224 - HEMALATHA VASIREDDY | 223141761 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $2923.93 | 1689642126 - STEVEN ZARNY | 223141761 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9229 | $2658.12 | 1538491212 - JASON SUH | 465285330 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $2658.12 | 1922084185 - JAMES ORSINI | 454832340 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $2658.12 | 1699908244 - SABIN MOTWANI | 454832340 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9229 | $2658.12 | 1861699944 - PETER GEORGES | 10212444 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $2870.34 | 1750323994 - SHAMBAVI RICHARD | 611661781 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $2959.06 | 1497277164 - NOAH LINDENBERG PC | 821379219 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $2923.93 | 1669490975 - ANDREW BERNSTEIN | 223141761 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $3056.85 | 1306887245 - TAMI BACH | 232865181 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9229 | $2658.12 | 1548295306 - SETH COHEN | 454832340 | 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 J9229 vs. Other Chemotherapy Drugs Codes
The HCPCS J9229 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 J9229 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 |
|---|---|---|
| J9228-HCPCS | Low | Injection, ipilimumab, 1 mg |
| J9229-HCPCS | High | Injection, inotuzumab ozogamicin, 0.1 mg |
| J9230-HCPCS | Low | Injection, mechlorethamine hydrochloride, (nitrogen mustard), 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 J9229. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9229 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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