ICD-9 to ICD-10 Forward and Backward Conversion Tool

Pro Pharma's JCode Calculator™ offers ICD-10 codes for pre-certs and utilization management need
CANOGA PARK, Calif. - Oct. 1, 2015 - PRLog -- Pro Pharma’s JCode Calculator™ Specialty Injectable Web-Based Pricing Tool is currently being updated as the JCode 3.0™ Version, which will accommodate both ICD-9 and ICD-10 Codes for your Pre-Certs and Utilization Management needs (our current version 2.0 has ICD-10 as well).

This Web-Based Pricing Tool includes ALL of the same functionality of the current 2.0 Version which includes, but is not limited to the following:

- Serves as a “Stand Alone” Web-Based and Electronic Resource, and/or can be integrated into your current Medical Claims Payment Systems

- Bases ALL Injectable Reimbursement on Healthcare Common Procedure Coding Systems (HCPCS) defined units, priced utilizing a spectrum of pricing metrics and can be customized for drug category discounts (e.g. Chemotherapy) or your choice of discounts.


- Pricing by Drug-Specific HCPCS-CPT Codes

- NDC Codes

- Brand and Generic Names

-  AWP, WAC, & ASP + 6% Pricing

-  Strength and Package Size

-  Pricing Per Package Size

-  Therapeutic Category

-  ICD-9 Diagnosis Flags

-  ICD-10 Diagnosis Flags

-  Typical Dosage for Vaccines

-  Customizable Discount Calculator

-  Drug Alert Notifications

-  Maximum Quantity Approvable Flags


- Check if ICD-9/ICD-10 Approved for Drug

-  Check Historical Prices by Date or Date Range

-  Brand/Generic Indicator

-  Part B & D Indicator Flags

-  Easy Web-Based Searching

-  Purchase by Day/ Week/ Month/ Quarter

Reference Fields Include (but are not limited to):

- Average Wholesale Price (**AWP), ASP and WAC by Pricing Unit for every HCPCS Code (including J, Q, A, B, C, and S Codes)

- NDC & CPT Code Descriptions

- Brand/Generic Name

- Strength

- Package Size

- Pricing Unit

For additional information visit  http://propharmaconsultants.com/products/jcode-calculator/ or call 888-701-5438 for web-demo.

About Pro Pharma Pharmaceutical Consultants, Inc.

PRO PHARMAis a multi-service, woman owned, privately held consulting firm offering a vast portfolio of services to public and private entities including self-insured employers, Taft Hartley Trusts and unions, public employers, for-profit hospitals and integrated health networks, health care insurance companies, worker's compensation insurers, small-to-medium sized HMO's, and physician groups.

As a primary service to plan sponsors for achieving below trend results, PRO PHARMA provides an integrated program of administrative process improvements, clinical quality oversight, and provider/member education.

Pro Pharma’s Consulting services are grounded in the use of data and the communication of that information to define benefit trends, drivers and other analytical indicators.   PRO PHARMA markets Comprehensive Specialty Analyses™, JCode Calculator™, Invoice Screening ™, Pro Pharma Suite of Tools™, Rx MAC List™, Quality Management Program™, Treatment Calendar™, and Biotech Modeling™.  The Pro Pharma directly markets its products in the U.S. and collaborates with partners to reach international markets.

Carol Stern, CEO
Pro Pharma Pharmaceutical Consultants, Inc. PRs
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