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What is the J code in medical billing?

Published in Medical Billing Codes 1 min read

In medical billing, a J-code is a type of Healthcare Common Procedure Coding System (HCPCS) Level II code used to identify non-orally administered drugs and certain medical devices. These codes are primarily used for billing purposes, ensuring accurate reimbursement for medical services and supplies.

Examples of commonly used J-codes include:

  • J1040: Anti-Rh(D) immune globulin (human)
  • J1100: Hepatitis B immune globulin (human)
  • J1190: Epinephrine injection, 1 mg
  • J1410: Calcium chloride injection, 1 g
  • J3490: Bevacizumab (AvastinĀ®)

J-codes are typically used for:

  • Injectable medications: Chemotherapy, immunosuppressants, and other injectable drugs.
  • Inhalable medications: Medications administered through nebulizers or inhalers.
  • Certain medical devices: such as prosthetic devices, surgical supplies, and medical equipment.

Understanding J-codes is crucial for medical professionals and billing specialists as they are essential for accurate billing and reimbursement.

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