tci Part B Insider - 2003 Issue 21

Drug Reimbursement: Confused About J3490 and J9999? Here's the Scoop

Easy tips for billing unlisted drugsHow do you document the need for a drug that doesn't have its own code? This is a constant source of frustration for coders, who want to bill for new drugs but worry about carriers rejecting any claims with unlisted drug codes. Luckily, drug manufacturers and software programs are poised to help you bill for these. Medicare offers two codes for unlisted drugs: J9999 for chemotherapy drugs and J3490 for others, says Nancy Giacomozzi, office manager for medical billing agency P.K. Administrative Services in Lakewood, Colo. The more commonly used unlisted...

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