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Ivig

K

krssy70

Guru
Messages
236
Location
East Providence, RI
Hello,

We have a patient that comes to our facility to recieve IVIG drug (J1572) by infusion and her diagnosis is hypogammaglobulinemia. Medicare has an active LCD for this drug and only supports medical necessity with the following diag:

279.04
279.05
279.06
279.12
279.2

Note states:

patients IgG level is low in the setting of hypogammaglobulinemia and remains on antibiotics at this time in the setting of pulmonary infections. She will received IVIG to try to decrease her infections.

?? Would anyone consider this to be a diag of 279.06??

Thank you,
Kristen :)
 
Yes you are right; 279.06 could also appropriate, while 279.03 is not included in the payers list. Have you asked them why not or do you know why not ?
 
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