HCPCS drug code · CMS crosswalk
Opdivo Qvantig J-Code / HCPCS Code
In short
Opdivo Qvantig is billed under HCPCS J9289 — Injection, nivolumab, 2 mg and hyaluronidase-nvhy. One billing unit is 2 mg. CMS's crosswalk lists 2 Opdivo Qvantig NDCs under this code.
Reference
- J9289
- Injection, nivolumab, 2 mg and hyaluronidase-nvhyBilling unit: 2 mg
- Labelers
- E.R. Squibb & Sons, L.L.C.
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Opdivo Qvantig units and claim line
Enter the dose given to get the J9289 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Opdivo Qvantig NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00003-3120-01 | J9289 | E.R. Squibb & Sons, L.L.C. | 2.5 | 150 |
| 00003-6120-01 | J9289 | E.R. Squibb & Sons, L.L.C. | 5 | 300 |
Opdivo Qvantig: common questions
- What is the J-code for Opdivo Qvantig?
- Opdivo Qvantig is billed under HCPCS J9289 — Injection, nivolumab, 2 mg and hyaluronidase-nvhy. One billing unit is 2 mg. CMS's crosswalk lists 2 Opdivo Qvantig NDCs under this code.
- How many J9289 billing units are in a package of Opdivo Qvantig?
- CMS lists 150 to 300 billing units per package, depending on the NDC, where one unit is 2 mg. Units to report are based on the dose given, not the package.
- Is J9289 a CPT code?
- No. J9289 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.