RE:RE:RE:RE:RE:RE:RE:TomorrowBalsbuster wrote: My limited understanding is tht J codes are issued annually. Thery are necessary for the most efficient and expedieted reimbursment of drug expense by the doctor. Without a J code the request from medicare is more manual (outside the standard system) and the reimbursment turnaround is slower. While drugs can be approved antime during the year, J codes are only issed I assume starting Jan 1. They can issue a Q code in the interim first year, which is similar to a J code, but not quite as utilized by doctors. J codes are just another reason most drugs get out of the gate slowly. Especially if the goverment is your primary source of revenue. Commercial payers are not impacted by this.
A quick Google search suggests that J3590 (unclassified biologic) is being used until it gets its own code.