J8499 HCPCS code: Prescription drug, oral, non chemotherapeutic, nos
J8499 is the HCPCS Level II code for prescription drug, oral, non chemotherapeutic, nos. Its Medicare coverage code is M (Non-covered by Medicare): Medicare does not cover this item or service.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | M — Non-covered by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | O1E — Other drugs |
| Added | 1995-01-01 |
| Last action effective | 1997-01-01 |
Medicare policy articles for this code
- A57160: Billing and Coding: Immune Thrombocytopenia (ITP) Therapy (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
Covered diagnoses (1 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| D69.3 | Immune thrombocytopenic purpura | 1 |
What changed for J8499
- 1995-01-01: J8499 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 J8499?
J8499 is the HCPCS Level II code for prescription drug, oral, non chemotherapeutic, nos. Short descriptor: "Oral prescrip drug non chemo".
Does Medicare cover J8499?
Coverage code M — Non-covered by Medicare. Medicare does not cover this item or service.
Which diagnoses support coverage for J8499?
Medicare policy articles that cite J8499 list 1 covered ICD-10-CM diagnosis codes across 1 article. The most cited include D69.3 (Immune thrombocytopenic purpura). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Related J84 codes
- J8498 — Antiemetic drug, rectal/suppository, not otherwise specified
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Next steps
- Run a reimbursement report for a device billed under J8499
- Watch J8499 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J8499
Sources: CMS HCPCS Level II release October 2026; 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.