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HCPCS Code for Not otherwise classified, antineoplastic drugs J9999

HCPCS code J9999 for Not otherwise classified, antineoplastic drugs as maintained by CMS falls under Chemotherapy Drugs.

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Official Long Descriptor

Not otherwise classified, antineoplastic drugs

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Medicare and other private payors do not recognize S0077 - what code to use?
[QUOTE="okinc10, post: 415916, member: 36106"] [B]S0070[/B] The S0070 is not recognized by Medicare but also the replacement code is not accepted either. It would be great if there was a straight fo... [ Read More ]
Pain Pump Refills
You should be using J7999. [URL='https://med.noridianmedicare.com/web/jeb/topics/drugs-biologicals-injections#2']Noridian Medicare (just the first one I happened to pull up, click me for the full doc... [ Read More ]
Revenue Code Guidance for Unlisted Drug on HOPD claim (J9999,J3490,J3590,C9399)
Could someone clarify if the rev code for the unlisted drug code would remain 0636 or if it would shift to 0250? With the admin codes at 0260, this puts the drug at the top of the claim and not at the... [ Read More ]
J3490/no auth
In my experience, most plans require prior authorization for unlisted drug codes (J3490, J3590, J9999), generally because the codes are being used for new drugs with no utilization history. Did you t... [ Read More ]
Modifier 76 on Unclassified Drugs
Hi, We bill for medical oncology, and use multiple dose forms of chemotherapy drugs to reach the patient's necessary dose. This involves multiple NDC's that we must report separately.Is the 76 modifi... [ Read More ]
Modifier 76 on Unclassified Drugs
Hi, We bill for medical oncology, and use multiple dose forms of chemotherapy drugs to reach the patient's necessary dose. This involves multiple NDC's that we must report separately.Is the 76 modif... [ Read More ]
OPDIVO anyone
[b]Update for billing Unlisted J9999 2015[/b] Hello, I hope this helps anyone trying to get reimbursement for the 2015 claims. Moving forward the drug is not under unlisted for 2016 and this is for T... [ Read More ]
OPDIVO anyone
I found billing J9999 as one line item with patients total dose and any waste as number of units has been working for me with Medicare. I do make note of both NDC# in note field. Hope this helps. Let ... [ Read More ]
J3590 - Keytruda
Just started at a new office- and Im dealing with the same thing. They are using J3490, but I believe I have found on CMS to use a J9999.... [ Read More ]
Insurance and Study billing -
We are giving a patient three drugs, part gets billed to the insurance and part of it gets billed to a study. J9999 (Drug-X supplied by the study), J9305 (billed to the insurance), and J2405 (paid for... [ Read More ]
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