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

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.

Contact Railroad Medicare

Email Railroad Medicare

Contact a specific Railroad Medicare department

Provider Contact Center: 888-355-9165

IVR: 877-288-7600

TTY: 877-715-6397

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC


National Supplier Clearinghouse MAC


RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries



Click to Chat Now