HCPCS J9322 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 • 99 - Other POS |
| Complexity Level | Low |
National average reimbursement for HCPCS J9322 by major payers:
$9.38
$10.61
$10.84
$9.85
| 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 J9322 | ||||||
United | J9322 | $10.19 | 1760944714 - DAVID BILLING | 133237927 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9322 | $10.19 | 1649499336 - ANUPAMA DORAISWAMY | 300937486 | NJ | Hematology (Internal Medicine) Physician (207RH0000X) |
United | J9322 | $9.89 | 1942519004 - TULIN BUDAK-ALPDOGAN | 223266219 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9322 | $9.89 | 1417274143 - DAVID MULVIHILL | 223587486 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9322 | $10.89 | 1740664515 - MIGUEL GONZALEZ VELEZ | 223141761 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9322 | $10.67 | 1912932765 - MARK LEVIN | 264709927 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9322 | $10.43 | 1902869720 - GREGORY SHYPULA | 223376459 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9322 | $10.19 | 1386915122 - YAO YU | 300937486 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9322 | $9.89 | 1346772118 - ROSE SNYDER | 454832340 | NJ | Hematology (Internal Medicine) Physician (207RH0000X) |
United | J9322 | $11.88 | 1083099642 - LIOR SHABTAI | 453023019 - (NY) NORTH SHORE-LIJ MEDICAL PC | MD | General Acute Care Hospital (282N00000X) |
United | J9322 | $10.48 | 1770573222 - UPMC CHAUTAUQUA AT WCA, WOMAN'S CHRISTIAN ASSOCIATION HOSPITAL | 160743226 - UPMC CHAUTAUQUA AT WCA | NY | General Acute Care Hospital (282N00000X) |
United | J9322 | $9.89 | 1679866214 - JESSICA TAFF | 454832340 | NJ | Hematology (Internal Medicine) Physician (207RH0000X) |
United | J9322 | $8.90 | 1356890560 - ANDREW LU | 113465690 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9322 | $8.90 | 1548295306 - SETH COHEN | 223316007 | NJ | Medical Oncology Physician (207RX0202X) |
United | J9322 | $10.48 | 1073734877 - KIMRAD LLC | 208718218 | NJ | Radiation Oncology Physician (2085R0001X) |
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 J9322 vs. Other Chemotherapy Drugs Codes
The HCPCS J9322 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 J9322 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 |
|---|---|---|
| J9320-HCPCS | Moderate | Injection, streptozocin, 1 gram |
| J9322-HCPCS | Low | Injection, pemetrexed (bluepoint) not therapeutically equivalent to j9305, 10 mg |
| J9323-HCPCS | Low | Injection, pemetrexed ditromethamine, 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 J9322. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9322 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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