What Healthcare Common Procedure Coding System (HCPCS) code should be used if one cannot be found for the medication that is being administered?
In the situation where there is no code to accurately describe the medication as in the case with a new drug, the provider should use the HCPCS J3490, “Unclassified Drugs”. The code should be reported along with documentation identifying the drug, dosage, and route of administration. For more information on the billing of medications and units please refer to the following links: Chemotherapy Administration and Nonchemotherapy Injection and Infusion Coding and Payment Policy – Pub.
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