Revenue Code For J3490
Revenue code 250 or 636 with one of the following j codes.
Revenue code for j3490. With an unlisted drug code it is needed to document the importance of trying this new drug and record it in the chart notes. The administration cpt code for the administration of j3490 or j3590 is 67038. Hcpcs codes a9597 a9598 a9599 or j3490 is applicable for a diagnostic radiopharmaceutical until pass through status has been granted and a new hcpcs code is assigned. Drugs reported under revenue code 636 are included in this calculation.
J3490 or j3590 are approved and valid codes for bevacizumab when treating neovascular age related macular degeneration amd by an ophthalmologist. Revenue code guidance for unlisted drug on hopd claim j9999 j3490 j3590 c9399 thread starter daniellekiehl. J9999 unclassified chemotherapy drugs and j3490 unclassified drugs for others. These codes can be filed on a paper ub 04 claim form and an invoice must be claim.
J3490 medicare reimbursement and coverage cms medicare offers two codes for unlisted drugs. Payment for diagnostic agents are packaged into the procedure until cms makes a determination. The codes are defined as. Messages 24 best answers 0.
Jun 25 2020 1 could someone clarify if the rev code for the unlisted drug code would remain 0636 or if it would shift to 0250. The appropriate j code should be used if one has been assigned to the drug. Cms has recommended that facility providers report all drugs with a hcpcs code under revenue code 636 to better capture actual pharmacy overhead cost through claims data. J3490 has been in effect since 01 01 1997 hcpcs code details j3490.
Start date jun 25 2020. J3490 unclassified medication j7599 immunosupppressive not otherwise classified j8499 prescription drug oral non chemotherapeutic nos j8999 oral prescription chemotherapeutic nos. J3490 is a valid 2020 hcpcs code for unclassified drugs or just drugs unclassified injection for short used in medical care.