Billing for Provenge

kellit21

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We are getting edits on our administration codes when billing for Provenge. They are asking for a modifier for both codes... 96365 and 96375. Are any of you getting this? If so what modifier are you using for these codes?
 

myando

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We are using infusion code 96413 for the Provenge. May want to veryify with your drug rep about the guidelines for your state or check directly with Dendreon at 877-336-3736.
 
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