EMPLICITI J Code: J9176

Drug & Product Overview

HCPCS Descriptor Injection, elotuzumab, 1 mg

HCPCS Added Date January 1, 2017

Manufacturer BMS

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution

About EMPLICITI

Empliciti is a medication aligned to the HCPCS J Code: J9176 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by BMS.

According to CMS Drug Use Information: This medication is used to treat a certain type of cancer (multiple myeloma). Elotuzumab belongs to a class of drugs known as monoclonal antibodies. It works by slowing or stopping the growth of cancer cells.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

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
00003-2291-11	Empliciti	E.R. Squibb & Sons, L.L.C.	300	300 MG
00003-4522-11	Empliciti	E.R. Squibb & Sons, L.L.C.	400	400 MG

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EMPLICITI Pricing & Reimbursement

J9176 Private Payer Reimbursement

$8.29 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

EMPLICITI Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 10.67%

Avg. Days to File 8.8days

Avg. Days to Pay 27.1days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J9176 claims analytics on FocalPoint →

EMPLICITI CPT Administration Codes

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)

JW / JZ modifiers apply

CMS has identified Empliciti (J9176) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

EMPLICITI Medically Unlikely Edits (MUE)

The most billing units of J9176 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

3,000 units / day

= 3,000 mg per day

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 →

EMPLICITI Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Multiple Myeloma

Drug Class

AntibodiesMonoclonal [CS]SLAMF7-directed Antibody Interactions [MoA]SLAMF7-directed Immunostimulatory Antibody [EPC]

Frequently Asked Questions

Is there an available Empliciti billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for EMPLICITI.

Are there any available Empliciti patient assistance programs?

EMPLICITI patient assistance information can be found through BMS. Visit Here →

Where can I find Empliciti prescribing information?

EMPLICITI prescribing information can be found at the link below: Visit Here →

Where can I find Empliciti side effect information?

Information regarding EMPLICITI's side effects can be found at MedlinePlus Visit Here →

Does billing EMPLICITI require JZ/JW wastage modifiers?

CMS has identified EMPLICITI(J9176) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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