In short

J9299 is the HCPCS Level II code for injection, nivolumab, 1 mg. CMS assigns NDCs for Opdivo to it. One billing unit is 1 mg. The Medicare Part B payment limit is $34.191 per unit (October 1, 2026 through December 31, 2026).

Code

Med-Code curated
HCPCS codeJ9299
Billing unit1 mg
Descriptor
Injection, nivolumab, 1 mg
Code set
HCPCS Level II, maintained by CMS

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$34.191
Per1 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Units and claim line

Units = dose given ÷ 1 mg. For example, 100 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Drugs mapped to J9299

FDA-listed products billed under J9299

Finished products in the FDA NDC Directory whose brand or single active ingredient, and route, match this code’s entry.

NDC products matching J9299
ProductStrengthForm · routeLabelerProduct NDC
OpdivonivolumabNivolumab 10 mg/mLInjectionIntravenousE.R. Squibb & Sons, L.L.C.0003-3772
OpdivonivolumabNivolumab 10 mg/mLInjectionIntravenousE.R. Squibb & Sons, L.L.C.0003-3734
OpdivonivolumabNivolumab 10 mg/mLInjectionIntravenousE.R. Squibb & Sons, L.L.C.0003-3774
OpdivonivolumabNivolumab 10 mg/mLInjectionIntravenousE.R. Squibb & Sons, L.L.C.0003-3756

All NDCs for these drugs

NDCs billed under J9299

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 4 NDCs to J9299 for Opdivo. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9299 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Opdivo00003-3734-13E.R. Squibb & Sons, L.L.C.24240
Opdivo00003-3756-14E.R. Squibb & Sons, L.L.C.12120
Opdivo00003-3772-11E.R. Squibb & Sons, L.L.C.440
Opdivo00003-3774-12E.R. Squibb & Sons, L.L.C.10100

J9299: common questions

Is J9299 a CPT code?
No. J9299 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDCs are billed under J9299?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 4 NDCs under J9299, for Opdivo. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9299?
$34.191 per 1 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
What is one billing unit of J9299?
One unit of J9299 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in