GAZYVA J Code: J9301
Injection, obinutuzumab, 10 mg
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.
Drug & Product Overview
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 |
GAZYVA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →GAZYVA Claims Performance
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 →
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) |
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.
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 →
GAZYVA 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 Gazyva billing and coding guide?
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Does billing GAZYVA require JZ/JW wastage modifiers?
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