Question 1

What is HCPCS code J0850?

Accepted Answer

HCPCS code J0850 is "Cytomegalovirus imm iv /vial". Injection, cytomegalovirus immune globulin intravenous (human), per vial

Question 2

What category is J0850 in?

Accepted Answer

J0850 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J0850?

Accepted Answer

Use J0850 when billing for cytomegalovirus imm iv /vial. 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

What ICD-10 codes are commonly used with J0850?

Accepted Answer

Common ICD-10 diagnosis codes used with J0850 include: B16.1 (Acute hepatitis B with delta-agent without hepatic coma), B16.2 (Acute hepatitis B without delta-agent with hepatic coma), B16.9 (Acute hepatitis B without delta-agent and without hepatic coma), B17.0 (Acute delta-(super) infection of hepatitis B carrier). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is J0850 covered by Medicare?

Accepted Answer

Coverage for J0850 (Cytomegalovirus imm iv /vial) 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 6

What documentation is required for J0850?

Accepted Answer

Documentation for J0850 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).