Blue Shield: Stelara Hcpcs Code

Friday, May 21, 2021

Stelara Hcpcs Code

57894-0060-xx Stelara 90 mg prefilled PF syringe. According to the applicant STELARA is a human.

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C9487 for DOS from 04012017 to 063017 Q9989 for DOS from 07012017-123117 and J3358 for DOS 01012018 and after for the initial IV dose of Stelara when used for Crohns disease and each subsequent subcutaneous dose must.

Stelara hcpcs code. DIAGNOSIS INFORMATION - Please indicate primary ICD Code and specify any other any other where applicable. 45 mg05 mL single-dose vial HCPCS CODE SHORT DESCRIPTION FOURTH-QUARTER 2019 ASP RATE FDA SPECIFIED 10-DIGIT NDC 5-3-2 FORMAT J3357 5ustekinumab sub cu inj 1 mg 191387 per 1 mg 57894-060-02 6 Janssen Biotech Inc. J3357 Ustekinumab for subcutaneous injection 1 mg.

HCPCS code J3357 - Stelara ustekinumab for subcutaneous injection 1 mg has been added. O Bynfezia HCPCS code J2354 Removed Cimzia certolizumab pegol HCPCS code J0717 Updated list of applicable HCPCS codes for Haegarda c-1 esterase inhibitor. C9399 for dates of service DOS before 04012017.

Fourth-Quarter 2019 STELARA Medicare Allowable5. SELF-ADMINISTRATION or OFFICE ADMINSTRATION - SUBCUTANEOUS SC INJECTION ustekinumab pre-filled syringes. STELARA can be used alone or in combination with methotrexate MTX.

Based on the 2019 annual HCPCS update HCPCS code C9015 has been deleted and replaced with HCPCS code J0599 Injection c-1 esterase inhibitor human haegarda 10 units. STELARA ustekinumab is indicated for the treatment of patients 6 years or older with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy. Other Policies may apply.

Other Policies and Guidelines may apply. A code is invalid if it has not been coded to the full number of characters required for that code including the 7th character if applicable2 The table below lists possible ICD-10-CM diagnosis codes that you may consider for patients treated with STELARA. J3358 per 1 mg.

Require coverage for a specific service. Ustekinumab Stelara OFFICE ADMINISTRATION - INTRAVENOUS IV INJECTION ustekinumab vials. Janseen Biotech Inc submitted a request to establish a new Level II HCPCS code to identify STELARA ustekinumab for intravenous infusion and to revise existing code J3357 to distinguish it from the IV formulation.

Coding to describe STELARA ustekinumab for Intravenous Administration Effective January 1 2017 CMS modified HCPCS code J3357 to be specific to the subcutaneously administered of STELARA ustekinumab for subcutaneous injection and is NOT appropriate for reimbursement of intravenous administration as this would result in overpayment of the drug. The inclus ion of a code does not imply any right to reimbursement or guarantee clami payment. Diagnosis Code Description K5000.

According to the applicant STELARA is a human. Effective September 23 2016 IV ustekinumab Stelara should be billed with HCPCS J3590 OPPS. Janseen Biotech Inc submitted a request to establish a new Level II HCPCS code to identify STELARA ustekinumab for intravenous infusion and to revise existing code J3357 to distinguish it from the IV formulation.

The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. 1 billable unit 1 mg NDC. The article has been updated to correct the SAD Process URL.

1 billable unit 1 mg J3358 Ustekinumab for intravenous injection 1 mg. HCPCS Code Description J3357 Ustekinumab for subcutaneous injection 1 mg J3358 Ustekinumab for intravenous injection 1 mg. Replaced J3590 with J0599 10012019 Added Fasenra benralizumab autoinjector prefilled syringe labeled for self -administration HCPCS code J0517 Removed Hemlibra emicizumab Updated list of applicable HCPCS codes for.

Under Excluded CPTHCPCS Codes Table Format added HCPCS code J3358 - Stelara ustekinumab for intravenous injection 1 mg. Request is for Stelara ustekinumab Check One. STELARA ustekinumab is indicated for the treatment of patients 6 years or older with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy.

STELARA can be used alone or in combination with methotrexate MTX. Subcutaneous Stelara 45 mg single-dose vial SDV and prefilled PF syringe. HCPCS Code Description J3357 Ustekinumab for subcutaneous injection 1 mg J3358 Ustekinumab for intravenous injection 1 mg ICD-10 Diagnosis Code Description K5000 Crohns disease of small intestine without complications.

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