HCPCS Level II drug code
J3030 — Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
In short
J3030 is the HCPCS Level II code for injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered). One billing unit is 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician.
Code
CMS HCPCS file- Descriptor
- Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
- Short descriptor
- Sumatriptan succinate / 6 mg
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 2000
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Units and claim line
Units = dose given ÷ 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician. For example, 600 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 J3030 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.
J3030: common questions
- Is J3030 a CPT code?
- No. J3030 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 J3030?
- One unit of J3030 is 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, as stated in the code's descriptor. Units to report = dose given ÷ 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician. J-code billing units.