J3490 (Not Otherwise Classified (NOC) HCPCS Code): Billing Tip
In order for WPS Medicare to reimburse NOC code J3490 correctly, providers must indicate the following in the electronic narrative, line level 2400 loop NTE segment, or Item 19 of the CMS-1500 form:
- The name of the drug,
- The total dosage (plus strength of dosage, if appropriate), and
- The method of administration; and
- List the units of service as one in 2400/SV1-04 data element of the ANSI X12 4010A1 or in item 24G of the CMS 1500 form.
You would not want to quantity bill this service, since this will cause the claim to deny.
Page Last Updated: Thursday, 18-Mar-2010 05:56:12 CDT
