HCPCS Level II · unclassified
J3490 — Unclassified drugs
In short
J3490 is the HCPCS Level II code for unclassified drugs: drugs with no specific code of their own. It has no fixed drug or unit, so the claim carries the NDC of the drug given and its quantity.
Code
Med-Code curatedHCPCS codeJ3490
Billing unitNo defined unit — report the NDC and quantity
- Descriptor
- Unclassified drugs
- Code set
- HCPCS Level II, maintained by CMS
J3490 is an unclassified code
J3490 is a miscellaneous code for a drug that has no specific HCPCS code. Payers that accept it generally require the 11-digit NDC, the quantity administered with a unit qualifier, the drug name and strength, and often the acquisition invoice. Acceptance varies by payer.
Units and claim line
Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Drugs in the directory with no specific code
- MounjaroBrandMed-Code's directory has no drug-specific HCPCS code for Mounjaro. It is usually self-administered and billed by NDC through a pharmacy benefit.
- OzempicBrandMed-Code's directory has no drug-specific HCPCS code for Ozempic. It is usually self-administered and billed by NDC through a pharmacy benefit.
- SemaglutideGenericMed-Code's directory has no drug-specific HCPCS code for semaglutide. Injectable semaglutide is usually self-administered and billed by NDC through a pharmacy benefit. Oral semaglutide tablets are pharmacy-dispensed and have no HCPCS code.
- TirzepatideGenericMed-Code's directory has no drug-specific HCPCS code for tirzepatide. It is usually self-administered and billed by NDC through a pharmacy benefit.
- WegovyBrandMed-Code's directory has no drug-specific HCPCS code for Wegovy. It is usually self-administered and billed by NDC through a pharmacy benefit. Wegovy tablets are pharmacy-dispensed and have no HCPCS code.
- ZepboundBrandMed-Code's directory has no drug-specific HCPCS code for Zepbound. It is usually self-administered and billed by NDC through a pharmacy benefit.
J3490: common questions
- Is J3490 a CPT code?
- No. J3490 is a HCPCS Level II code, maintained by CMS, that identifies a drug with no specific code of its own. 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 NDC goes with J3490?
- None is fixed. J3490 is used for drugs that have no specific HCPCS code, so the claim carries the NDC of the drug actually given and its quantity, and payers usually also ask for the drug name and dose. How to find a J-code.