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HCPCS code J9023: Avelumab injection, per 10 mg2026 Medicare rate & RVUs

Reports avelumab, an intravenous immunotherapy used in oncology regimens for certain advanced cancers, with each unit representing 10 mg.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9023

Avelumab injection, per 10 mg

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for J9023 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What J9023 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What J9023 covers

Avelumab is an immune checkpoint inhibitor given by intravenous infusion. Oncology practices and hospital outpatient departments commonly report it for treatment regimens involving certain advanced cancers, including Merkel cell carcinoma, urothelial carcinoma, and renal cell carcinoma. The selected drug and regimen depend on the patient’s cancer and treatment plan; avelumab may be used with another cancer drug in some regimens.

J9023 is excluded from the physician fee schedule under CMS status E. When Medicare covers the drug, it is treated as a Part B drug, generally priced through CMS’s quarterly ASP drug pricing files; coverage is left to the Medicare contractor’s judgment. Each HCPCS unit represents 10 mg of avelumab, so the number of units is based on the administered dose divided by 10 mg. Report the drug separately from the applicable infusion-administration service when appropriate.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where J9023 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

J9023 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

J9023 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
J9023 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the J9023 rate is calculated

Each of J9023’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · J9023

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for J9023

J9023 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · J9023

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

J9023 isn’t priced in this setting.

J9023 compared with similar codes

Compare codes · National

J9023 vs J9022 vs J9024: Medicare rates

Office or facility?

  • J9023

    Avelumab injection, per 10 mg0 wRVU

    Not priced

  • J9022

    Atezolizumab injection, per 10 mg0 wRVU

    Not priced

  • J9024

    Atezolizumab injection, per 5 mg0 wRVU

    Not priced

How to choose

J9022Atezolizumab injectionPer 10 mg
J9022 identifies atezolizumab, not avelumab. Both codes use a 10 mg unit, so select according to the drug administered.
J9024Atezolizumab injectionPer 5 mg
J9024 identifies an atezolizumab and hyaluronidase product. It is not avelumab; use J9023 only when avelumab was administered.

Codes related to J9023

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to J9023
CodeHow it relatesNational office range
Often billed with
96413Chemo IV infusion, initial drug, first hourMay report the initial intravenous antineoplastic infusion administration with the drug.$114.99–$186.95
96415Chemo infusion add-on, each additional hourMay report additional infusion time when the administration meets the code’s requirements.$25.05–$38.23
96417Chemotherapy infusion, additional sequential drugMay apply when a separate antineoplastic drug is infused sequentially during the same encounter.$57.74–$92.61

J9023 billing questions

How many units does avelumab require?

One unit represents 10 mg. Divide the administered dose in milligrams by 10 to determine the units.

Is J9023 paid under the physician fee schedule?

No. CMS assigns status E, which excludes J9023 from the physician fee schedule. When Medicare covers the drug, it generally uses the Part B drug pricing method.

Does Medicare cover every use of avelumab?

Coverage is left to the Medicare contractor’s judgment.

Is the infusion administration included in J9023?

J9023 reports the drug units. Report the applicable infusion-administration service separately when appropriate.

How is J9023 different from J9022?

J9023 represents avelumab at 10 mg per unit. J9022 represents atezolizumab, a different drug, also at 10 mg per unit.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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