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Posting Date: 03/26/2024
Unlisted Codes for Drugs and Biologicals (J3490, J3590 and J9999)
Unlisted Codes for Drugs and Biologicals (J3490, J3590 and J9999) An unlisted code should only be used when no other code adequately describes the service. They are commonly used when the drug/biological does not have a specific HCPCS code, [...]
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Posting Date: 03/26/2024
Compound Drugs
Compound Drugs If there is not a HCPCS code for the compound drug you are billing, then it is appropriate to bill J7999 ‒ Compounded Drug, Not Otherwise Classified. This applies to both pump and nonpump compound drugs. The name, dose and [...]
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Posting Date: 03/26/2024
Prolonged Drug and Biological Infusions Using an External Pump
Prolonged Drug and Biological Infusions Using an External Pump In some situations, a hospital outpatient department or physician office may purchase a drug for a medically reasonable and necessary prolonged drug infusion, begin the drug [...]
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Posting Date: 01/26/2022
Coding for Sinuva™ Claims
Coding for Sinuva™ Claims This notice is a coding instruction, and not an indication of coverage. FDA labels should be consulted for indications and usage. Coding updated effective 4/1/2021: Claims submitted to National Government Services [...]
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