What is the NDC number for J3490?
Claim Submission Instructions for Claims With Two or Three National Drug CodesProcedure CodeNDCNDC DescriptionJ349000406-3245-57Hydromorphone HCl Powder — 1 mgJ349038779-0524-03Bupivacaine HCl Powder — 125 mgJ349000409-7984-13Sodium Chloride 0.9% Solution — 50 ml
How do you bill J3490?
Providers must bill with HCPCS code: J3490 - Unclassified drugs.One Medicaid and NC Health Choice unit of coverage is: 30 mg.The maximum reimbursement rate per unit is: $101.52.Providers must bill 11-digit NDCs and appropriate NDC units. ... The NDC units should be reported as “UN1”More items...•
Is J3490 a billable code?
Procedure codes J3490 and J9999 are unlisted codes for injection services. When billing for these codes, the provider must indicate the name, strength, and dosage of the drug in block 19 on the CMS-1500 claim form (or in 2400.
What is the reimbursement for J3490?
Providers must bill with HCPCS code: J3490 - Unclassified drugs. One Medicaid and NC Health Choice unit of coverage is: 1 mL. The maximum reimbursement rate per unit is: $20.64.
What is the difference between J3490 and J3590?
HCPCS J3490 (unclassified drug) and J3590 (unclassified biologic) are the HCPCS codes that are reported for medications that are biological but have not yet been established, to which the HCPCs code has been assigned.
Does Medicare pay for J codes?
J-codes are reimbursement codes used by commercial insurance plans, Medicare, Medicare Advantage, and other government payers for Medicare Part B drugs like Jelmyto that are administered by a physician.
What is J code J3490?
Famotidine Injection (Pepcid®) HCPCS Code J3490: Billing Guidelines.
How do you bill miscellaneous J codes?
Billing Miscellaneous HCPCS codes – J3490, J3590 Therefore, billers must currently use a miscellaneous code, either J3490 or J3590, on Aduhelm claims. It is generally accepted by most commercial insurance companies and Medicare/Medicaid to use the J3590 code when billing biologic medications.
How do I bill my J3590?
NOC drug billing: Office/Clinic: When using a drug NOC code (J3490, or J3590) list the name of the drug, the amount of the drug that is administered and wasted if applicable; method of administration in the electronic narrative that is equivalent to line 19 of the CMS 1500 form.
CAN J3490 be billed for bupivacaine?
The bupivacaine would fall under J3490, but for both this and the hydromorphone this is assuming these are off the shelf drugs and not compounded medications. For 2016, there is a new J code for compounded drugs that purchased for intrathecal pain pump refill.
What are unclassified J codes?
Unclassified Drug BillingJ3490 - Unclassified drugs.J3590 - Unclassified biologics.J9999 - Not otherwise classified, anti-neoplastic drug.
Can you bill for bupivacaine?
Coding would then be the HCPCS code C9290 - Injection, bupivacaine liposome, 1 mg x266 units. If less than the total vial is used, of course, you would apply the same conversion factor of 13.3 mg/mL to the number of mL administered.