J3490HCPCS Level IIMiscellaneous code

Unclassified drugs

Immunology / IL-4/13GLP-1 Receptor AgonistGIP / GLP-1 Dual Agonist
The answer

J3490 is unclassified drugs, billed at Per administration — quantity billed as supplied. It covers Dupixent, Mounjaro, Ozempic, Wegovy, Zepbound (Dupilumab, Semaglutide, Tirzepatide).

This is a miscellaneous code

J3490 is a miscellaneous code. Payers require the 11-digit NDC, the quantity administered with a unit qualifier, the drug name and strength, and usually a copy of the acquisition invoice. Claims without those details are rejected as unpriceable rather than denied on medical necessity.

Code detail

Code
J3490
Code set
HCPCS Level II, maintained by CMS
Descriptor
Unclassified drugs
Billable unit
Per administration — quantity billed as supplied
Category
Immunology / IL-4/13, GLP-1 Receptor Agonist, GIP / GLP-1 Dual Agonist

Drugs billed under J3490

5 brand names and 3 generics map to this code.

Generic

Dupilumab

Unclassified biologics / Dupilumab

Billing detail
Brand

Dupixent

Unclassified biologics / Dupilumab

Billing detail
Brand

Mounjaro

Unclassified drugs / Tirzepatide (Mounjaro)

Billing detail
Brand

Ozempic

Unclassified biologics / Semaglutide (Ozempic)

Billing detail
Generic

Semaglutide

Unclassified biologics / Semaglutide

Billing detail
Generic

Tirzepatide

Unclassified drugs / Tirzepatide

Billing detail
Brand

Wegovy

Unclassified biologics / Semaglutide (Wegovy)

Billing detail
Brand

Zepbound

Unclassified drugs / Tirzepatide (Zepbound)

Billing detail

Next steps

Find the NDCs for Dupilumab

FDA drug records with packaging, strengths and the 11-digit HIPAA conversion already applied.

Search the directory

Convert the NDC for the claim

The three leading-zero rules that turn an FDA 10-digit code into the 11-digit form this claim line needs.

Open the guide

Terms used on this page

Billable unitThe quantity denominator built into a HCPCS drug code, which converts an administered dose into the number reported on the claim.Definition J-codeA HCPCS Level II code beginning with J that identifies a drug administered by a clinician rather than self-administered.Definition NDC quantityThe amount of drug actually taken from the package, expressed in the unit named by the unit qualifier.Definition JW modifierReports the amount of a single-dose container that was discarded rather than administered.Definition

HCPCS Level II is updated quarterly by CMS. Verify J3490 against the current release before submitting a high-value claim.