HCPCS J3490 (unclassified drug) and J3590 (unclassified biologic) are the HCPCS codes that are reported for medications that are biological but have not yet been established, to which the HCPCs code has been assigned. To report a new medicine that is biological and has been approved by the Food and Drug Administration with a specific…
Primary care practitioner is defined as: 1. A physician who has a primary specialty designation of family medicine, internal medicine, geriatric medicine, or pediatric medicine for whom primary care services accounted for at least 60 percent of the allowed charges under the PFS (excluding hospital inpatient care and emergency department visits) for the practitioner in…
HCPCS Level II J Codes HCPCS Level II codes are also a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as Ambulance services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) when used outside a physician’s office. The development and use of…