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HCPCS code J9272: Dostarlimab injection, per 10 mg2026 Medicare rate & RVUs

Reports dostarlimab-gxly given by intravenous infusion for certain advanced or recurrent cancers, including endometrial cancer, in oncology treatment settings.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9272

Dostarlimab 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 J9272 →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 J9272 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 J9272 covers

Dostarlimab-gxly is an immune checkpoint inhibitor that blocks PD-1. Oncology clinicians use it in treatment regimens for certain advanced or recurrent cancers, including endometrial cancers; treatment selection may depend on tumor characteristics. It is given by intravenous infusion in settings such as hospital outpatient departments and oncology infusion centers. In some endometrial cancer regimens, it is administered with carboplatin and paclitaxel.

J9272 identifies the drug, not the infusion service, and each billing unit represents 10 mg of dostarlimab-gxly. Medicare excludes this code from the physician fee schedule under status E. When Medicare covers the drug, payment is under another method; the HCPCS pricing method identifies it as a Part B drug generally priced from CMS quarterly ASP drug files. Coverage is left to the Medicare contractor's judgment. Report the drug units based on the administered dose, and report the infusion administration separately 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 J9272 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

J9272 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

J9272 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
J9272 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 J9272 rate is calculated

Each of J9272’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 · J9272

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 J9272

J9272 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 · J9272

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J9272 isn’t priced in this setting.

J9272 compared with similar codes

Compare codes · National

J9272 vs J9271 vs J9277: Medicare rates

Office or facility?

  • J9272

    Dostarlimab injection, per 10 mg0 wRVU

    Not priced

  • J9271

    Pembrolizumab, per 1 mg0 wRVU

    Not priced

  • J9277

    Pembrolizumab injection, with hyaluronidase, per 1 mg0 wRVU

    Not priced

How to choose

J9271PembrolizumabPer 1 mg
J9271 identifies pembrolizumab, not dostarlimab-gxly. Select the code for the drug actually administered.
J9277Pembrolizumab injectionWith hyaluronidase, per 1 mg
J9277 identifies a subcutaneous pembrolizumab product; J9272 identifies dostarlimab-gxly for intravenous administration.

Codes related to J9272

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

Codes related to J9272
CodeHow it relatesNational office range
Often billed with
J9045Carboplatin, per 50 mgCarboplatin may be part of the same endometrial cancer regimen.No office rate
J9267Paclitaxel injection, per 1 mgPaclitaxel may be part of the same endometrial cancer regimen.No office rate
96413Chemo IV infusion, initial drug, first hourReports qualifying initial intravenous infusion administration, separate from the drug code.$114.99–$186.95

J9272 billing questions

How many units should be reported?

Each unit represents 10 mg of dostarlimab-gxly. Base the units on the administered dose.

Is J9272 the infusion administration code?

No. J9272 reports the drug; the intravenous infusion administration is reported separately when appropriate, using the applicable administration code.

How does Medicare treat J9272?

CMS assigns status E, excluding the code from the physician fee schedule. When Medicare covers the drug, it pays under another method; Part B drug pricing generally uses CMS quarterly ASP files, and coverage is left to the Medicare contractor.

How is J9272 different from J9271?

J9272 is dostarlimab-gxly, while J9271 is pembrolizumab. They identify different drugs, even though both are immune checkpoint inhibitors.

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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