Question 1

What is HCPCS code J7799?

Accepted Answer

HCPCS code J7799 is "Non-inhalation drug for dme". Noc drugs, other than inhalation drugs, administered through dme

Question 2

What category is J7799 in?

Accepted Answer

J7799 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J7799?

Accepted Answer

Use J7799 when billing for non-inhalation drug for dme. 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 J7799 covered by Medicare?

Accepted Answer

Coverage for J7799 (Non-inhalation drug for dme) 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 J7799?

Accepted Answer

Documentation for J7799 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).