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DME Billing for Oral Cancer Drugs

L

LNATALE

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Middletown, CT
Can anyone offer any assistance in billing out Oral Cancer Drugs? (ie) Capcetibine and Cyclophosphomide. I keep getting rejections/denials for the CPT code. Not sure if its the NDC or HCPC. Jurisdiction A.
 
LNATALE said:
Can anyone offer any assistance in billing out Oral Cancer Drugs? (ie) Capcetibine and Cyclophosphomide. I keep getting rejections/denials for the CPT code. Not sure if its the NDC or HCPC. Jurisdiction A.
Click to expand...

Noridian posted a billing reminder for Capcetibine on June 17, 2026: https://med.noridianmedicare.com/we...claims-for-oral-anti-cancer-drug-capecitabine

They also have links to Noridian's other Oral AntiCancer Drug LCDs and policies here: https://med.noridianmedicare.com/web/jadme/dmepos/oral-anticancer-drugs-oral-antiemetic-drugs
 
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