Forum - Questions & Answers

Oct 31st, 2012 - janecsvmic

compounded drugs

Are compounded drugs billed with J3490? If not, please provide instructions. Thanks

Nov 5th, 2012 - tdidier 6 

re: compounded drugs

Yes, compounded drugs are billed with J3490 or J9999 because they have no NDC.
Per Part B instruction' We billin for a compounded drug, the invoice information can be put into item 19 of the 1500 claim form or ehe electronic equivalent. Providers should indicate te drug is compounded,the name of the drug, the dose and the invoice price plus sipping for each line item'.

IOM Benefit Policy Manual, Publication 100-02, Chapter 15 Section 50; IOM NCD Manual, Publication 100-03, chapter 1, Part 4, section 280.14 Infusion Pumps'
IOM Claims Processing Manual, Publication 100-04, Chapter 17



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