Full Answer
J9228HCPCS Code for Injection, ipilimumab, 1 mg J9228.
J9228 - Injection, ipilimumab, 1 mg. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.
J Code for KEYTRUDA (pembrolizumab) AvailableHCPCS CODEDESCRIPTORJ9271Injection, pembrolizumab, 1 mgJan 8, 2016
HCPCS code J9299 should be used to report nivolumab for the Part A and B MAC.
Opdivo is an immunotherapy cancer treatment that people receive as an intravenous infusion. Because doctors usually administer Opdivo as an outpatient treatment, Medicare Part B covers 80% of the costs.
HCPCS code J9271 for Injection, pembrolizumab, 1 mg as maintained by CMS falls under Chemotherapy Drugs.
Meloxicam Injection, for Intravenous Use (Anjeso™) HCPCS Code J3490: Billing Guidelines.
HCPCS code J0185 for Injection, aprepitant, 1 mg as maintained by CMS falls under Drugs, Administered by Injection .
Providers must bill with HCPCS code: Q5107 - Injection, bevacizumab, (Mvasi), 10 mg. One Medicaid and NC Health Choice unit of coverage is: 10 mg The maximum reimbursement rate per unit is: $73.16. Providers must bill 11-digit National Drug Codes (NDCs) and appropriate NDC units.
Effective January 1, 2018, the permanent J-code is J9022 (injection, atezolizumab, 10 mg).
Group 1CodeDescriptionJ9311INJECTION, RITUXIMAB 10 MG AND HYALURONIDASEJ9312INJECTION, RITUXIMAB, 10 MGQ5115INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MGQ5119INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG1 more row
Claims for small dose bevacizumab for treatment of approved ophthalmologic indications, for providers who bill the Part B MAC, should be submitted using HCPCS code J9035 (bill one unit per eye).
ICD-10-PCS has a 7 character alpha-numeric code structure that provides a unique code for all substantially different procedures, and allows new procedures to be incorporated as new codes. All procedures currently performed can be specified in ICD-10-PCS.
6 - Extracorporeal or Systemic Therapies. In extracorporeal therapy, equipment outside the body is used for a therapeutic purpose that does not involve the assistance or performance of a physiological function. Extracorporeal therapy procedure codes have a first character value of “6”.
Extracorporeal assistance and performance procedure codes have a first character value of “5”. The second character value for body system is physiological systems.
The Medical and Surgical section codes represent the vast majority of procedures reported in an inpatient setting. Medical and surgical procedure codes have a first character value of "0". The 2nd character indicates the general body system (e.g., gastrointestinal). The first through fifth characters are always assigned a specific value, ...
Obstetrics procedure codes have a first character value of “1”. The second character value for body system is Pregnancy . The root operations Change, Drainage, Extraction, Insertion, Inspection, Removal, Repair, Reposition, Resection and Transplantation are used in the obstetrics section, and have the same meaning as in the medical and surgical section.
Substance abuse treatment codes have a first character value of “H”. The second character is used to identify the body system elsewhere in ICD-10-PCS. Because body system does not apply in this section, the second character always has the value None. The third character specifies the root type. Examples include detoxification services and individual counseling. The fourth character is a type qualifier that further specifies the procedure type. The individual counseling procedure further specified in the fourth character includes the values Cognitive Behavioral, 12-step, and Interpersonal. The fifth, sixth and seventh characters are not specified and always have the value None.
Measurement and monitoring procedure codes have a first character value of “4”. The second character value for body system is either physiological systems or physiological devices.