Advanced Search

Neurology & Pain Management Coding Alert

READER QUESTIONS :

Payment for Switching Same-Day Pharmacy

Published on Thu May 28, 2009

Question: A patient who relocated to another state wants to pick up her Myobloc, (J0587, Botulinum toxin, type B, per 100 units) through her Part D prescription coverage at the local pharmacy and bring it in for the physician to administer. She did this in her home state. She states I need to call and ask her Part D carrier for a form, then send in a letter for medical necessity along with it and why it needs to be administered in the physicians office. Can I still report to her Medicare carrier, her only insurance company, the administration (64613, Chemodenervation of muscle[s]; neck muscle[s] [e.g., for spasmodic torticollis, spasmodic dysphonia]) and EMG guidance (+95874, Needle electromyography for guidance in conjunction with chemodenervation [List separately in addition to code for primary procedure]) with documentation of the drug injected? Does Medicare allow this? South Carolina Subscriber Answer: Yes, Medicare and many [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Neurology & Pain Management Coding Alert

View All