J3490 AND lopressor

HI List,
i am getting a denial for this code from medicare, i billed J3490 with
units of 3, as pt presented to office in SVT, and Dr worked for almost
an hour to break it, anyone know why it would be denied?

Sarah Tupper, CMC
Billing Supervisor
Mohawk Valley Cardiology, PC
1676 Sunset Ave, 1st Floor
Utica, NY 13502
P: 315-624-8146
F: 315-624-8128


  • Since it's an unlisted code you should contact the carrier to find out what they need. Usually you'll need: the name of the drug, units of service, total dose, and total strength and put all that info in box 19.

    Camille Laabs, CPC
    Hospital Billing Team Lead
    Pulse Heart Institute/Cardiac Study Center
    1901 S Cedar St  Ste 301
    Tacoma WA  98405
    253-572-7320 ext 3049
  • edited May 2017
    thank you both, this is very helpful, i did bill more than one unit but
    all the other pertinent info was in box 19.thanks again
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