Billing Oral medication J codes with E&M

[NishaJ]

Hi ....

I need a clarification on billing J codes for Oral mediciation with E&M codes, especially Prednisolone. Medicare denied Oral medication J codes with E&M codes as inclusive in E&M..
Is there any guidelines regarding this Oral meds reimbursement for Medicare.

 

[Kris Cummings]

Nisha,

Medicare part B only pays for specific drugs, mainly injections/infusions. Here's a great MLN Matters article about what parts of Medicare covers what for drugs: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE0570.pdf .

Good luck!