by Lori | Jun 12, 2011 | Medicare payment basics
What is a J- Code ? -Codes: relate to Permanent codes used to report injectable drugs that ordinarily cannot be self-administered; chemotherapy, immunosuppressive drugs and inhalation solutions as well as some orally administered drugs Drugs and biologicals are...
by Lori | Aug 10, 2010 | Medicare payment basics
Drugs & Biologicals: Maximum Allowed Units (MAUs) – Palmetto GBA Medicare CPT CODE description J7030 – Infusion, normal saline solution , 1000 cc Maximum Allowed Units List – 2 KEY HCPCS Code Code Description MAU Release Date Reassesment Date...
by Lori | Aug 9, 2010 | Medicare payment basics
Drugs & Biologicals: Maximum Allowed Units (MAUs) – Palmetto GBA Medicare cpt code and description J1040 – Injection, methylprednisolone acetate, 80 mg J1170 – Injection, hydromorphone, up to 4 mg Maximum Allowed Units List KEY HCPCS Code Code...
by Lori | Aug 3, 2010 | Medicare payment basics
J3315 and J9202 with relavent ICDs For J3315 INJECTION, TRIPTORELIN PAMOATE, 3.75 MG (e.g., Trelstar®): 185 MALIGNANT NEOPLASM OF PROSTATE For J9202 GOSERELIN ACETATE IMPLANT, PER 3.6 MG (e.g., Zoladex®; note that Zoladex® Implant 10.8 mg, which is billed using 3...
by Lori | Jul 30, 2010 | Medicare payment basics
J1950 with related ICDS For J1950 INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG (e.g., Lupron Depot®): 174.0 MALIGNANT NEOPLASM OF NIPPLE AND AREOLA OF FEMALE BREAST 174.1 MALIGNANT NEOPLASM OF CENTRAL PORTION OF FEMALE BREAST...