February 2017
J2840 replaces J3490, J3590 when billing Kanuma™
The Centers for Medicare & Medicaid Services has established a permanent procedure code for specialty medical drug Kanuma™, effective Jan. 1, 2017.
All services from May 1, 2016, through Dec. 31, 2016, will continue to be reported with codes J3490 or J3590. All services performed on and after Jan. 1, 2017, must be reported with J2840.
Specialty pharmacy prior authorization is required for all groups unless they have opted out of the Prior Authorization program.
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