J9061 HCPCS code: Injection, amivantamab-vmjw, 2 mg
J9061 is the HCPCS Level II code for injection, amivantamab-vmjw, 2 mg. In 2024 Medicare paid an average of $15.63 per service for J9061 across 1,042,166 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1050 per day on DME suppliers. Medicare volume rose 175% from 2022 to 2024 (379,436 to 1,042,166 services). In 2024, about 537 clinicians billed Medicare for J9061 for 278 beneficiaries; California, Texas, Florida accounted for 77% of services.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1D — Chemotherapy |
| Added | 2022-01-01 |
| Last action effective | 2022-01-01 |
Who bills J9061 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 537 |
| Medicare beneficiaries | 278 |
| States with claims | 5 |
| Share of services in top 3 states (California, Texas, Florida) | 77% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J9061, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 379,436 | 79 | $17.29 | $13.80 |
| 2023 | 469,709 | 101 | $18.98 | $15.13 |
| 2024 | 1,042,166 | 278 | $19.58 | $15.63 |
States with the most J9061 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 162,753 | $15.67 |
| Texas | 118,301 | $15.35 |
| Florida | 95,201 | $15.36 |
| Illinois | 85,400 | $16.00 |
| Maryland | 27,475 | $12.34 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1050 | Prescribing Information |
| outpatient hospital claims | 1050 | Prescribing Information |
| practitioner claims | 1050 | Prescribing Information |
What changed for J9061
- 2022-01-01: J9061 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code J9061?
J9061 is the HCPCS Level II code for injection, amivantamab-vmjw, 2 mg. Short descriptor: "Inj, amivantamab-vmjw".
How much does Medicare pay for J9061?
In 2024, the average Medicare payment was $15.63 per service (average allowed $19.58).
Does Medicare cover J9061?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J9061 can be billed per day?
1050 on DME suppliers; 1050 on outpatient hospital claims; 1050 on practitioner claims (NCCI medically unlikely edits).
Related J90 codes
- J9000 — Injection, doxorubicin hydrochloride, 10 mg
- J9003 — Leuprolide injectable (camcevi etm), 1 mg
- J9010 — Injection, alemtuzumab, 10 mg
- J9011 — Injection, datopotamab deruxtecan-dlnk, 1 mg
- J9015 — Injection, aldesleukin, per single use vial
- J9017 — Injection, arsenic trioxide, 1 mg
- J9019 — Injection, asparaginase (erwinaze), 1,000 iu
- J9020 — Injection, asparaginase, not otherwise specified, 10,000 units
- J9021 — Injection, asparaginase, recombinant, (rylaze), 0.1 mg
- J9022 — Injection, atezolizumab, 10 mg
- J9023 — Injection, avelumab, 10 mg
- J9024 — Injection, atezolizumab, 5 mg and hyaluronidase-tqjs
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Next steps
- Run a reimbursement report for a device billed under J9061
- Watch J9061 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J9061
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.