injection code for Soliris J1300

[carmenl]

What injection code should I be using for Soliris 900mg given for 31 minutes
Thank you

 

[dtricia]

Injection code for Soliris

We use 96365. It is not on a list of drugs allowed to be billled with 96413 from our local carrier Noridian.

 

[Sher85260]

Sherj

Where on the Nordian website do you find a list of the drugs that cannot be billed with 96413?

 

[Sher85260]

Location of Chemo-Therapy Drug list for Nordian

Where on the Nordian website do you find a list of the drugs that cannot be billed with 96413?

 

[dtricia]

Noridian link re Chemo drugs

Here is the link
www.noridianmedicare.com/partb/coverage/chemotherapy_administration.html

If you go into the Claims Processing Manual , under Chemo Administration it gives more clarification about monoclonals. It is also stated that the list is not complete.
Tricia D

 

[Sher85260]

J1300

Thank you for the information Tricia!