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Wiki 11900 and J3301

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detesler

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Hartsdale, New York
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I am a medical coder and biller for a dermatology office and we are noticing that Oxford is paying for J3301 but denying the administration codes stating its mutually inclusive.
We have never had a problem in the past but even after multiple appeals stating CPT and HCPCS are billable separately and admin of the medication is separate from the actual medication they only way they wind up paying is if we omit J3301 and submit only 11900 or 11901.
Please be so kind advise on what are recourse is. Thank you so very much
 
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