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Can we bill most J codes in ASC?

Linda Posted Thu 10th of May, 2012 15:46:34 PM

Can we bill J codes ex. "J9290" in an ambulatory setting?
This is for a bladder tumor.

Linda Posted Thu 10th of May, 2012 15:47:20 PM

CORRECTION THE CODES IS J9280

SuperCoder Answered Thu 10th of May, 2012 15:54:05 PM

The answer is yes. Hospital is required to use Healthcare Common Procedural Coding System (HCPCS) J codes when billing drugs used in the hospital outpatient setting.The J code, combined with any HCPCS codes for services provided, will group to an Ambulatory Payment Classification, which in turn is used to determine the payment rate for the drug and services. Each J code has a defined number of units associated with it.

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