HCPCS code J9035: Bevacizumab, per 10 mg2026 Medicare rate & RVUs in California

Provider-administered bevacizumab used in cancer treatment, reported for each 10 mg when the reference product is administered.

CMS RVU26DEffective Oct 1, 202629 payment localities

CMS doesn’t publish an office rate for J9035 in California.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in California
  2. What J9035 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What J9035 covers

J9035 identifies bevacizumab, the reference product sold as Avastin, used in cancer treatment. It is typically administered by intravenous infusion in regimens for cancers including metastatic colorectal, non-small cell lung, renal cell, cervical, ovarian, fallopian tube, and peritoneal cancers, as well as glioblastoma. Hospital outpatient departments and physician-office infusion clinics commonly report the drug when they furnish this product. The code represents the medication, not the infusion service.

CMS assigns status E, excluding J9035 from the physician fee schedule. When Medicare covers the drug, payment is under another payment method; the HCPCS pricing method identifies it as a Part B drug generally paid using CMS quarterly ASP drug pricing files. Coverage is left to the Medicare contractor’s judgment. One unit represents 10 mg, so a 100 mg administered dose corresponds to 10 units. Report the infusion administration separately when performed and separately reportable.

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 J9035 pays more and less in California

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

29 of 29 payment localities

J9035 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the J9035 rate is calculated

Each of J9035’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 · J9035

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 J9035

J9035 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 · J9035

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J9035 isn’t priced in this setting.

J9035 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J9035

    Bevacizumab, per 10 mg0 wRVU

    Not priced

  • Q5107

    Mvasi injection, per 10 mg0 wRVU

    Not priced

  • Q5118

    Zirabev injection, per 10 mg0 wRVU

    Not priced

  • Q5126

    Alymsys injection, per 10 mg0 wRVU

    Not priced

How to choose

Q5107Mvasi injectionPer 10 mg
Use Q5107 when the administered product is bevacizumab-awwb; J9035 identifies the reference bevacizumab product.
Q5118Zirabev injectionPer 10 mg
Use Q5118 for bevacizumab-bvzr. Select between it and J9035 based on the product administered.
Q5126Alymsys injectionPer 10 mg
Q5126 identifies bevacizumab-maly, while J9035 identifies the reference product.

J9035 billing questions

How many units should be reported?

Each unit represents 10 mg of bevacizumab. For example, a 100 mg administered dose is 10 units.

Does J9035 include the infusion administration?

No. J9035 represents the drug; report the infusion administration separately when performed and separately reportable.

When does Medicare pay for J9035?

The code is excluded from the physician fee schedule. When Medicare covers the drug, it generally uses the Part B drug pricing method based on CMS quarterly ASP files; coverage is left to the Medicare contractor’s judgment.

Should J9035 be used for a bevacizumab biosimilar?

Use the HCPCS code that identifies the product actually administered. Codes such as Q5107 and Q5118 identify specific bevacizumab biosimilars rather than the reference product represented by J9035.

What should the record support?

Document the bevacizumab product administered and the dose given so the reported units can be determined.

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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