What is J code reimbursement?

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?

HCPCS Reporting. —Providers report HCPCS code J3490 (Unclassified drugs) for sodium ferric gluconate complex in sucrose injection for claims with dates of service on or after December 1, 2000.

How do I bill CPT code J3490?

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. SV101-7 in the ANSI 837 claim file).

What is CPT code J3590?

Ravulizumab-cwvz injection, for intravenous use (Ultomiris™) HCPCS code J3590: Billing Guidelines. Ultomiris is available as 300 mg/30 mL (10 mg/mL) in a single-dose vial and is indicated for the treatment of adult patients with paroxysmal nocturnal hemoglobinuria (PNH).

Is the Follistim AQ cartridge for subcutaneous use?

Follistim®AQ Cartridge is for use only with the Follistim Pen®, which features an adjustable dosing system for administering the drug in a microvolume of solution. The Follistim Pen® with Follistim®AQ Cartridge is intended for SUBCUTANEOUS USE ONLY.

When is Follistim AQ considered medically necessary by Aetna?

There is a lack of reliable evidence that any one brand of FSH is superior to the least cost brands for medically necessary indications. Therefore, Aetna considers Follistim AQ to be medically necessary for members who have a documented contraindication or intolerance or allergy or failure of an adequate trial of one month of Gonal-F.

What are the side effects of Follistim AQ?

FOLLISTIM AQ Cartridge contains a potent gonadotropic substance capable of causing ovarian hyperstimulation syndrome (OHSS) with or without pulmonary or vascular complications and multiple births. Gonadotropin therapy requires the availability of appropriate monitoring facilities.

Can a Follistim cartridge be used for IVF?

FOLLISTIM AQ Cartridge is also indicated for pregnancy in normal ovulatory women undergoing controlled ovarian stimulation as part of in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) cycle. Prior to initiation of treatment with FOLLISTIM AQ Cartridge for OI or IVF/ICSI: