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Last Modified: 8/26/2011
Location: FL, PR, USVI
Business: Part B
Billing unlisted drug procedure codes J3490 and J9999
Procedure codes J3490 and J9999 are unlisted codes for injection services.
• J3490 - Unclassified drugs
• J9999 - Not otherwise classified, antineoplastic drugs
When billing for these codes, the provider must indicate the name, strength, and dosage of the drug in block 19 on the CMS-1500 claim form (or the narrative record of the electronic equivalent).
Pricing information for most unlisted drugs may be found on the Centers for Medicare & Medicaid Services (CMS) website at: http://www.cms.gov/McrPartBDrugAvgSalesPrice/ 
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.For local coverage determinations (LCDs) pertaining to an unlisted drug, refer to the LCD lookup tool. Type the drug name into the Keyword window and select the adjacent Submit button. Please note, however, that most unlisted drugs are not covered by an LCD.
Source: CMS IOM Pub 100-04, Ch. 17
