Question 1

What is HCPCS code J0945?

Accepted Answer

HCPCS code J0945 is "Brompheniramine maleate inj". Injection, brompheniramine maleate, per 10 mg

Question 2

What category is J0945 in?

Accepted Answer

J0945 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J0945?

Accepted Answer

Use J0945 when billing for brompheniramine maleate inj. 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 J0945 covered by Medicare?

Accepted Answer

Coverage for J0945 (Brompheniramine maleate inj) 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 J0945?

Accepted Answer

Documentation for J0945 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).