Advanced Search

Oncology & Hematology Coding Alert

Reader Questions:

Research Codes for Unlisted Drugs

Published on Tue Jul 11, 2006

Question: How can I find the code for a new drug, such as Orencia?

Texas Subscriber Answer: When a specific code doesn't exist for a drug, you should check your payer's preferences. If your payer doesn't offer guidance, you should use an unclassified code and may find recommendations from the drug manufacturer. Example: For Orencia, the manufacturer suggests J3590 (Unclassified biologics) in its coding guide on the Web at www.orencia.com/Splash/Includes/53BSA008B_CodingBilling-WEB.pdf.
 
Good news: You may see a specific code for Orencia in January 2007.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Oncology & Hematology Coding Alert

View All