Question 1

What is HCPCS code J0795?

Accepted Answer

HCPCS code J0795 is "Corticorelin ovine triflutal". Injection, corticorelin ovine triflutate, 1 microgram

Question 2

What category is J0795 in?

Accepted Answer

J0795 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J0795?

Accepted Answer

Use J0795 when billing for corticorelin ovine triflutal. 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 J0795 covered by Medicare?

Accepted Answer

Coverage for J0795 (Corticorelin ovine triflutal) 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 J0795?

Accepted Answer

Documentation for J0795 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).