J9010 was retired on Dec 31, 2015

CMS ended J9010 after Dec 31, 2015. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file
HCPCS codeJ9010
Billing unit10 mg
Descriptor
Injection, alemtuzumab, 10 mg
Short descriptor
Alemtuzumab injection
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2016

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

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Med-Code hasn’t mapped J9010 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.

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J9010: common questions

Is J9010 a CPT code?
No. J9010 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 J9010?
One unit of J9010 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.

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