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December 2019

J0642 replaces J3490 and J3590 when billing levoleucovorin (khapzory)

The Centers for Medicare & Medicaid Services has established a permanent procedure code for specialty medical drug levoleucovorin (khapzory), effective Oct. 1, 2019.

All services from Jan. 1, 2019, through Sept. 30, 2019, will continue to be reported with codes J3490 and J3590. All services performed on and after Oct. 1, 2019, must be reported with J0642.

All services effective April 1, 2019, for facility billing will continue to be reported with code C9043.
The national drug codes are 68152-0112-01 and 68152-0114-01.

Outpatient Prospective Payment System

Injection

Code Change Coverage comments Effective date
C9043 Added Covered for facility only. April 1, 2019
J0642 Added Covered. Oct. 1, 2019

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