In short

J9216 is the HCPCS Level II code for injection, interferon, gamma 1-b, 3 million units. One billing unit is 3 million units.

Code

CMS HCPCS file
HCPCS codeJ9216
Billing unit3 million units
Descriptor
Injection, interferon, gamma 1-b, 3 million units
Short descriptor
Interferon gamma 1-b inj
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2019

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

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.

Find the NDC

Med-Code hasn’t mapped J9216 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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J9216: common questions

Is J9216 a CPT code?
No. J9216 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 J9216?
One unit of J9216 is 3 million units, as stated in the code's descriptor. Units to report = dose given ÷ 3 million units. J-code billing units.

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