The code J3590 is used for billing of unclassified biologics in the Physician Administered Drug program or PADP.
J3590 is a Healthcare Common Procedure Coding System or HCPCS code that is specifically used for billing unclassified biologics which are not covered by a more specific J code.
Examples of drugs that may be billed with J3590 include Risankizumab (Skyrizi), Eflapegrastim (Rolvedon), Filgrastim (Releuko), Ravulizumab (Ultomiris), Olipudase Alfa (Xenpozyme), and Ublituximab (Briumvi).
When billing, you use the J3590 code along with the specific drug name, dosage and also the route of administration in item 19 of the CMS-1500 or EDI equivalent and the code J3590 is an unclassified code that means it is used for drugs which don't have a specific code assigned to them, so it's important and crucial that you report the drug name, dosage and the route of administration accurately.
J Code stands for and refers to a type of HCPCS Level II code that is commonly used to designate non orally administered drugs and other medical devices.
For example the drug code J3111 is an HCPCS code that refers to "Injection, romosozumab-aqqg, 1 mg," that is used for billing purposes and reimbursement purposes for the drug called Evenity or romosozumba-aqqg.
J3111 is the Healthcare Common Procedure Coding System (HCPCS) code assigned to the injection of romosozumab-aqqg (brand name: Evenity).
The code is used by healthcare providers as well as insurance companies to bill and reimburse for the administration of the injection Evenity.
Evenity is a prescription medication that is used to treat osteoporosis in postmenopausal women who are at high risk for fracture or who cannot use or those who have not responded well to other treatments for osteoporosis.
Evenity works by helping to create new bone and slow down bone loss, which can also increase your bone mineral density and reduce your risk of fractures, particularly spine fractures.
The cost of Evenity (romosozumab-aqqg) is approximately $2,628.92 per month, but most people on Evenity don't pay this price due to insurance coverage and other factors..