OWCP Updates to Unlisted J-Code Billing for Outpatient UB-04 - 05-19-2022

Effective May 28, 2022, new billing requirements will go into effect for unlisted HCPCS J-codes submitted on Outpatient UB-04 forms for DFEC and DEEOIC programs.

This change affects unlisted J-codes: J3490, J3590, J7999, J8499, J8999 and J9999

New mandatory requirements when billing with for unlisted J codes:

  1. Line must include the appropriate Revenue Center Code (RCC) per the OWCP Fee Schedule. Visit this link for further details.
  2. Line must include a valid National Drug Code (NDC)
    • For paper, include the NDC in box 43 of the UB-04
    • For EDI and web portal Direct Data Entry (DDE), enter the NDC in the applicable field

If any of the required fields are invalid or missing, your bill may be denied.

You may also contact our Call Center at the number(s) listed below, a Call Center representative will be happy to assist you.

  • Division of Energy Employees' Occupational Illness Compensation (DEEOIC) 1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC) 1-844-493-1966
Medically Unlikely Edits (MUEs) - 03-08-2022

Effective March 5, 2022, Medically Unlikely Edits (MUEs) will apply to bills submitted for DFEC, DEEOIC, and DCMWC Programs.

Please refer to the OWCP bulletin for additional information by clicking here.

You may also contact our Call Center at the number(s) listed below. A Call Center representative will be happy to assist you.

  • Division of Coal Mine Workers’ Compensation (DCMWC) 1-800-638-7072
  • Division of Energy Employees' Occupational Illness Compensation (DEEOIC) 1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC) 1-844-493-1966