RITUXAN HYCELA J Code: J9311
Injection, rituximab 10 mg and hyaluronidase
Q4 2026 Medicare Payment Limit for J9311, effective October 1, 2026: $36.265 per HCPCS billing unit, down 0.3% from $36.389. From CMS's final file.
Drug & Product Overview
About RITUXAN HYCELA
Rituxan Hycela is a medication aligned to the HCPCS J Code: J9311 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the subcutaneous route and manufactured by Genentech.
According to CMS Drug Use Information: Rituximab is used to treat certain types of cancer (such as non-Hodgkin's lymphoma, chronic lymphocytic leukemia). Rituximab 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 |
|---|---|---|---|---|
| 50242-0108-01 | Rituxan Hycela | Genentech, Inc. | 140 | 1404 MG / 11.7 ML |
| 50242-0109-01 | Rituxan Hycela | Genentech, Inc. | 160 | 1608 MG / 13.4 ML |
RITUXAN HYCELA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →RITUXAN HYCELA Claims Performance
Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore J9311 claims analytics on FocalPoint →
RITUXAN HYCELA 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 |
|---|---|
| 96401 | Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic |
CMS has identified Rituxan Hycela (J9311) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
RITUXAN HYCELA Medically Unlikely Edits (MUE)
The most billing units of J9311 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg (rituximab).
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 →
RITUXAN HYCELA 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
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