J3591 — Unclassified drug or biological used for esrd on dialysis
J3591 is a HCPCS Level II code for unclassified drug or biological used for esrd on dialysis. It belongs to the Drugs Administered Other Than Oral Method section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusE
Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).
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The CMS record for J3591
- Long descriptor
- Unclassified drug or biological used for esrd on dialysis
- Short descriptor
- Esrd on dialysi drug/bio noc
- Added
- January 1, 2019
- BETOS
- O1E
- Pricing indicator
- 51 — Other
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Drugs.
Codes adjacent to J3591
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If J3591 is not quite right, the correct code is very often within a few positions of it.
- J3486Injection, ziprasidone mesylate, 10 mg
- J3489Injection, zoledronic acid, 1 mg
- J3490Unclassified drugs
- J3520Edetate disodium, per 150 mg
- J3530Nasal vaccine inhalation
- J3535Drug administered through a metered dose inhaler
- J3570Laetrile, amygdalin, vitamin b17
- J3590Unclassified biologics
- J7030Infusion, normal saline solution , 1000 cc
- J7040Infusion, normal saline solution, sterile (500 ml = 1 unit)
- J70425% dextrose/normal saline (500 ml = 1 unit)
- J7050Infusion, normal saline solution, 250 cc
- J70605% dextrose/water (500 ml = 1 unit)
- J7070Infusion, d5w, 1000 cc
- J7100Infusion, dextran 40, 500 ml
- J7110Infusion, dextran 75, 500 ml
Questions about J3591
What is HCPCS code J3591?
J3591 is a HCPCS Level II code for unclassified drug or biological used for esrd on dialysis. It sits in the Drugs Administered Other Than Oral Method section.
Does Medicare cover J3591?
The CMS HCPCS file marks J3591 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is J3591 paid under the physician fee schedule?
J3591 carries PFS status code E. Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).