Question 1

What is HCPCS code J0911?

Accepted Answer

HCPCS code J0911 is "Inst tauro 1.35mg/hep 100u". Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)

Question 2

What category is J0911 in?

Accepted Answer

J0911 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J0911?

Accepted Answer

Use J0911 when billing for inst tauro 1.35mg/hep 100u. 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 J0911 covered by Medicare?

Accepted Answer

Coverage for J0911 (Inst tauro 1.35mg/hep 100u) 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 J0911?

Accepted Answer

Documentation for J0911 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).