I billed for a chemotherapy drug with HCPCS code J9999 and it denied. Why?

Answer
HCPCS code J9999 should only be used for chemotherapy drugs that do not already have an assigned code. When HCPCS code J9999 is used, the name, strength, total dosage and route of administration must be on the claim. If the drug is compounded, the invoice/acquisition cost must be included with the description. Listing the NDC alone does not give enough information to enable adjudication of the claim. Without the above information, the claim will be denied because there is no supporting documentation.

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