In short

J1595 is the HCPCS Level II code for injection, glatiramer acetate, 20 mg. One billing unit is 20 mg.

Code

CMS HCPCS file
HCPCS codeJ1595
Billing unit20 mg
Descriptor
Injection, glatiramer acetate, 20 mg
Short descriptor
Injection glatiramer acetate
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2004

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Units and claim line

Units = dose given ÷ 20 mg. For example, 2000 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Find the NDC

Med-Code hasn’t mapped J1595 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

Search NDCs for glatiramer acetate

J1595: common questions

Is J1595 a CPT code?
No. J1595 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What is one billing unit of J1595?
One unit of J1595 is 20 mg, as stated in the code's descriptor. Units to report = dose given ÷ 20 mg. J-code billing units.

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