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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.

Medical Billing and Coding Forum

Correct billing for J3490 for Pain Pump Refills

My doctor has started doing Pain Pump Refills, most of the refills use Hydromorphone, Bupivicaine, along with Sodium Chloride & Sterile Water(which I know are inclusive and not payable). We use J3490, my question is how would I bill this correctly for the morphine & bupivicaine. Until now, I have not billed for these drugs.

Thanks for any help.

Medical Billing and Coding Forum