DANYELZA J Code: J9348
Injection, naxitamab-gqgk, 1 mg
Q4 2026 Medicare Payment Limit for J9348, effective October 1, 2026: $685.988 per HCPCS billing unit, up 0.2% from $684.898. From CMS's final file.
Drug & Product Overview
About DANYELZA
Danyelza is a medication aligned to the HCPCS J Code: J9348 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by Y-mabs Therapeutics.
Manufacturers, reach out to us to add more information.
NDC Code Information
Based on publicly available CMS files. The list of NDCs below is not exhaustive.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 73042-0201-01 | Danyelza | Y-mAbs Therapeutics, Inc. | 40 | 40 MG / 10 ML |
DANYELZA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →DANYELZA CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) |
CMS has identified Danyelza (J9348) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
DANYELZA Medically Unlikely Edits (MUE)
The most billing units of J9348 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
DANYELZA Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
Is there an available Danyelza billing and coding guide?
Are there any available Danyelza patient assistance programs?
Where can I find Danyelza prescribing information?
Where can I find Danyelza side effect information?
Does billing DANYELZA require JZ/JW wastage modifiers?
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