Question 1

What is HCPCS code J8655?

Accepted Answer

HCPCS code J8655 is "Oral netupitant, palonosetro". Netupitant 300 mg and palonosetron 0.5 mg, oral

Question 2

What category is J8655 in?

Accepted Answer

J8655 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J8655?

Accepted Answer

Use J8655 when billing for oral netupitant, palonosetro. 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 J8655 covered by Medicare?

Accepted Answer

Coverage for J8655 (Oral netupitant, palonosetro) 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 J8655?

Accepted Answer

Documentation for J8655 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).