J3591 HCPCS code: Unclassified drug or biological used for esrd on dialysis
J3591 is the HCPCS Level II code for unclassified drug or biological used for esrd on dialysis. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 2019-01-01 |
| Last action effective | 2019-01-01 |
What changed for J3591
- 2019-01-01: J3591 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code J3591?
J3591 is the HCPCS Level II code for unclassified drug or biological used for esrd on dialysis. Short descriptor: "Esrd on dialysi drug/bio noc".
Does Medicare cover J3591?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related J35 codes
- J3520 — Edetate disodium, per 150 mg
- J3530 — Nasal vaccine inhalation
- J3535 — Drug administered through a metered dose inhaler
- J3570 — Laetrile, amygdalin, vitamin b17
- J3590 — Unclassified biologics
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Next steps
- Run a reimbursement report for a device billed under J3591
- Watch J3591 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J3591
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.