Question 1

What is HCPCS code J0885?

Accepted Answer

HCPCS code J0885 is "Epoetin alfa, non-esrd". Injection, epoetin alfa, (for non-esrd use), 1000 units

Question 2

What category is J0885 in?

Accepted Answer

J0885 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J0885?

Accepted Answer

Use J0885 when billing for epoetin alfa, non-esrd. 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 J0885?

Accepted Answer

Common ICD-10 diagnosis codes used with J0885 include: B17.10 (Acute hepatitis C without hepatic coma), B17.11 (Acute hepatitis C with hepatic coma), B18.2 (Chronic viral hepatitis C), B19.20 (Unspecified viral hepatitis C without hepatic coma). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is J0885 covered by Medicare?

Accepted Answer

Coverage for J0885 (Epoetin alfa, non-esrd) 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 J0885?

Accepted Answer

Documentation for J0885 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).