Question 1

What is HCPCS code J9048?

Accepted Answer

HCPCS code J9048 is "Inj, bortezomib freseniuskab". Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg

Question 2

What category is J9048 in?

Accepted Answer

J9048 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J9048?

Accepted Answer

Use J9048 when billing for inj, bortezomib freseniuskab. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is J9048 covered by Medicare?

Accepted Answer

Coverage for J9048 (Inj, bortezomib freseniuskab) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for J9048?

Accepted Answer

Documentation for J9048 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).