In short

J9311 is the HCPCS Level II code for injection, rituximab 10 mg and hyaluronidase. CMS assigns NDCs for Rituxan Hycela to it. The Medicare Part B payment limit is $36.265 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ9311
Billing unitSee descriptor
Descriptor
Injection, rituximab 10 mg and hyaluronidase
Short descriptor
Inj rituximab, hyaluronidase
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2019

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$36.265
Per10 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

Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

NDCs billed under J9311

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J9311 for Rituxan Hycela. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9311 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Rituxan Hycela50242-0108-01Genentech, Inc.11.7140
Rituxan Hycela50242-0109-01Genentech, Inc.13.4160

J9311: common questions

Is J9311 a CPT code?
No. J9311 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 J9311?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J9311, for Rituxan Hycela. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9311?
$36.265 per 10 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.

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