2025 HCPCS code J9299
Injection, nivolumab, 1 mg
Modifiers such as JA, JW, and JZ may be applicable to J9299 to indicate the method of administration or if any drug was discarded.
Medical necessity for nivolumab is determined by the patient's specific cancer type and stage, as well as other clinical factors. Nivolumab is generally used when other treatments are not effective or are not tolerated by the patient.
The administration of nivolumab should be overseen by a physician experienced in cancer treatment. Patient selection may involve PD-L1 testing to assess the tumor's expression of this protein. The dosage and frequency depend on the specific type of cancer and the patient's overall condition.
In simple words: Nivolumab is a cancer medication given through a vein. It helps your body's defenses fight the cancer. This code is for one milligram of the drug.
Nivolumab is a monoclonal antibody used in cancer treatment. It works by blocking the PD-1 receptor, an immune checkpoint, which helps the immune system recognize and attack cancer cells. This code represents 1 mg of nivolumab, administered intravenously.
Example 1: A patient with metastatic melanoma receives 240 mg of nivolumab every two weeks., A patient with non-small cell lung cancer receives 480 mg of nivolumab every four weeks., A patient with renal cell carcinoma receives nivolumab in combination with ipilimumab, with dosages and schedules determined by their risk profile and treatment response.
Documentation should include the patient's diagnosis, PD-L1 status (if tested), the specific dosage and administration method of nivolumab, and any adverse reactions.
** This code represents only the drug nivolumab; administration codes should be billed separately. Brand name: Opdivo. Nivolumab can be used in combination with other chemotherapy drugs, such as ipilimumab, and the dosage adjustments may be needed depending on the combination.
- Payment Status: Active
- Specialties:Medical Oncology, Hematology, Surgical Oncology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital