Home Drug Codes J Codes J9301 · GAZYVA
Updated July 1st, 2026

GAZYVA J Code: J9301

Injection, obinutuzumab, 10 mg

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Q4 2026 Medicare Payment Limit for J9301, effective October 1, 2026: $85.039 per HCPCS billing unit, up 0.7% from $84.463. From CMS's final file.

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Medicare Payment Limit ?
$84.463
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$84.463
/ HCPCS billing unit · APC 1476
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, obinutuzumab, 10 mg
HCPCS Added Date January 1, 2015
Manufacturer Genentech
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution, Concentrate

About GAZYVA

Gazyva is a medication aligned to the HCPCS J Code: J9301 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the intravenous route and manufactured by Genentech.

According to CMS Drug Use Information: Obinutuzumab is used to treat certain types of blood cancer (such as chronic lymphocytic leukemia, follicular lymphoma). This medication is also used to treat a certain kidney disorder (lupus nephritis). Lupus nephritis is an immune disorder where certain proteins in your own body attack and cause damage to the kidneys. Obinutuzumab belongs to a class of drugs known as monoclonal antibodies. It works by stopping the growth of cancer cells. In lupus nephritis, obinutuzumab works by decreasing damage to the kidneys.

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
50242-0070-01 Gazyva Genentech, Inc. 100 1000 MG / 40 ML
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GAZYVA Pricing & Reimbursement

J9301 Private Payer Reimbursement
$83.87 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

GAZYVA Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 12.04%
Avg. Days to File 7.2days
Avg. Days to Pay 23.1days

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

Explore J9301 claims analytics on FocalPoint →
OnPoint Oncology

GAZYVA 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)
JW / JZ modifiers apply

CMS has identified Gazyva (J9301) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

GAZYVA Medically Unlikely Edits (MUE)

The most billing units of J9301 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient
100 units / day
= 1,000 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

GAZYVA 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.

Chronic Lymphocytic Leukemia Follicular Lymphoma Lupus Nephritis
Drug Class
CD20-directed Antibody Interactions [MoA]CD20-directed Cytolytic Antibody [EPC]

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Frequently Asked Questions

Is there an available Gazyva billing and coding guide?
Billing and coding information for GAZYVA can be found through Genentech. Visit Here →
Are there any available Gazyva patient assistance programs?
GAZYVA patient assistance information can be found through Genentech. Visit Here →
Where can I find Gazyva prescribing information?
GAZYVA prescribing information can be found at the link below: Visit Here →
Where can I find Gazyva side effect information?
Information regarding GAZYVA's side effects can be found at MedlinePlus Visit Here →
Does billing GAZYVA require JZ/JW wastage modifiers?
CMS has identified GAZYVA(J9301) 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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