Question 1

What is HCPCS code J0150?

Accepted Answer

HCPCS code J0150 is "Injection adenosine 6 mg". Injection, adenosine for therapeutic use,  6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)

Question 2

What category is J0150 in?

Accepted Answer

J0150 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J0150?

Accepted Answer

Use J0150 when billing for injection adenosine 6 mg. 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 J0150 covered by Medicare?

Accepted Answer

Coverage for J0150 (Injection adenosine 6 mg) 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 J0150?

Accepted Answer

Documentation for J0150 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).