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HCPCS code J9347: Tremelimumab-actl, per 1 mg2026 Medicare rate & RVUs

Tremelimumab-actl is an intravenous cancer immunotherapy reported per milligram when administered for unresectable liver cancer or metastatic non-small cell lung cancer.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9347

Tremelimumab-actl, per 1 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 J9347 →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 J9347 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 J9347 covers

Tremelimumab-actl is an immune checkpoint inhibitor administered by intravenous infusion. Oncology clinicians use it with durvalumab for unresectable hepatocellular carcinoma and with durvalumab plus platinum chemotherapy for metastatic non-small cell lung cancer. An oncology practice or hospital outpatient department reports the drug when it furnishes the dose for administration; a qualifying infusion administration is reported separately from the drug.

Each unit represents 1 mg of tremelimumab-actl, so reported units match the total milligrams administered. CMS assigns physician fee schedule status E, excluding the code from that schedule; when Medicare covers the drug, payment is made under another method. CMS classifies it as a Part B drug, generally priced using its quarterly Average Sales Price drug pricing files when covered. The Medicare contractor determines coverage.

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 J9347 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

J9347 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

J9347 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
J9347 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 J9347 rate is calculated

Each of J9347’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 · J9347

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 J9347

J9347 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 · J9347

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J9347 isn’t priced in this setting.

J9347 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J9347

    Tremelimumab-actl, per 1 mg0 wRVU

    Not priced

  • J9173

    Durvalumab injection, per 10 mg0 wRVU

    Not priced

  • J9299

    Nivolumab, per 1 mg0 wRVU

    Not priced

  • 96413

    Chemo IV infusion, initial drug, first hour0.28 wRVU

    $133.27

How to choose

J9173Durvalumab injectionPer 10 mg
J9173 identifies durvalumab, which may be administered with tremelimumab-actl in a combination regimen. J9347 identifies tremelimumab-actl only.
J9299NivolumabPer 1 mg
J9299 identifies nivolumab, a different immunotherapy drug. Select the code for the drug actually furnished; it is not the code for tremelimumab-actl.
96413Chemo IV infusionInitial drug, first hour
96413 reports a qualifying infusion administration service; J9347 reports tremelimumab-actl in 1 mg units.

Codes related to J9347

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

Codes related to J9347
CodeHow it relatesNational office range
Often billed with
J9173Durvalumab injection, per 10 mgDurvalumab is a different drug used with tremelimumab-actl in oncology regimens.No office rate
96413Chemo IV infusion, initial drug, first hourReports qualifying initial-hour infusion administration separately from the drug.$114.99–$186.95

J9347 billing questions

How many units should be reported?

Report one unit for each 1 mg of tremelimumab-actl administered. The units should reflect the total administered dose.

Is this the same drug code as durvalumab?

No. J9347 represents tremelimumab-actl; J9173 represents durvalumab, a different drug that may be given with it in a treatment regimen.

Does J9347 include the infusion administration?

No. J9347 identifies the drug. Report a qualifying infusion administration service separately, such as CPT 96413 when applicable.

How does Medicare price and cover J9347?

CMS excludes J9347 from the physician fee schedule under status E. When covered as a Part B drug, it is generally priced using the quarterly ASP drug pricing files, and the Medicare contractor determines coverage.

What documentation supports the units?

Document the drug administered and the total milligrams given so the reported units can be tied to the administered dose.

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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