I’m looking for some clarification on coding for the drugs for a intrathecal pain pump refills.
Any info would be greatly appreciated.
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Tag Archives: Compound
compound drug billing for medicare for pump refills
Does anyone have experience billing pump refills with compound drugs to medicare using the J3490 code. I am having quite a difficult time getting the compound drugs paid. They will pay the visit and the pump 62369 code but even when i indicate what is in the compound drug and the units i am still getting a denial. Can anyone help with this.
Compound injectables J7999?
I am in discussions with a pharmaceutical company that we purchase compound injectable meds from and they are telling me to bill the J code for the commercial non-compounded equivalent. I have been under the assumption we are supposed to bill J7999. Can anyone clarify this for me?
For example they provide us with a compounded formula for methylprednisolone 40mg and want me to bill J1030. Is this correct?
Thanks