Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

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


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.

Related Topics