Wiki Hcpcs

[gcohen]

Having trouble getting paid for J codes J7638 in particular, rejected non billable. Suggestions?

 

[meghanhannus]

Hello,

Since J7638 (Dexamethasone, inhaltion solution) is a compounded inhalation solution and is considered not FDA-approved therefore is denied as not reasonable and necessary per MCR. Please also see this UHC link for more info https://www.uhcprovider.com/content...c/policies/medadv-guidelines/n/nebulizers.pdf.

Hope this helps~