Injectable Drug

Reimbursement Policy
Number: 2020170DR

Created: Month day, year
Last Updated: Month day, year
Next review: Month day, year

Submit the HCPCS Level II code that best describes the injection given in terms of the drug and dosage. Codes for injections include the charge for the drug only. The administration charge should be submitted separately. When the dosage given is greater than the HCPCS Level II code definition, use the unit field to specify the appropriate number of units.

Codes 96379 and J3490 are for unlisted therapeutic injections. The drug name and dosage must be included on each claim, as well as the National Drug Code (NDC) number. All unlisted or unclassified drug codes ending in 99 must include the drug name and dosage on each claim in addition to the NDC number.    

Report the drug name, dosage and NDC starting in the loop 2400/NTE segment narrative field for electronic claims.    

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