Effective use of J-codes In Pharmacy Billing

Healthcare Common Procedure Coding System (HCPCS) is based on the Current Procedural Terminology (CPT) developed by the Center of Medicare and Medicaid (CMS). Till 1996, HCPCS was optional but after the passage of the Health Information Portability and Accountability Act (HIPAA), the government had made the use of HCPCS mandatory in certain cases.

The HCPCS has divided the codes into two levels:

  • Level I: – Identical to CPT codes.
  • Level II: – To represent non-physician services like medical equipment, wheelchair, ambulance ride, and other medical services.

HCPCS Level II codes or better known as J-codes are represented in the alphanumeric pattern. The first position is represented with an alphabet, while the next positions are occupied by numbers.

To understand the topic on J-codes we have prepared an informational and concise E-Book for the pharmacist. “How to use J-codes to represent various medical drugs and services?”

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