Office of Workers' Compensation Programs (OWCP)
Automate J-Code Process
Effective 05/14/2012, for OWCP Programs, all prescription drugs dispensed from a physician's office and submitted with procedure codes J3490, J8499, J8999, and J9999 will require an accompanying original National Drug Code (NDC). All physician dispensed prescription drugs submitted correctly with the drug's original NDC will process through the Pharmacy Benefits Management System and based on the date of service will price according to the published Average Wholesale Price (AWP) or the Medispan Average Wholesale (MAW) benchmark pharmacy rate. Services submitted for any of these codes without an accompanying NDC will be denied.
For FECA/Black Lung Program: Any physician dispensed prescription drugs submitted using procedure code 99070 will require an accompanying original National Drug Code (NDC). Services submitted using procedure code 99070 without an accompanying description of the supplies or other materials provided (except spectacles) will be denied.
For Energy Program: Services submitted with procedure code 99070 will be denied. The Energy Program requires a level II HCPCS code.
