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Wiki J3590 - Keytruda

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CFisher5

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We have a patient that received 200mg of Keytruda. We gave 4 vials (50mg) and we are now trying to bill to Medicare and we are having a tough time. Per the drug rep we should bill J3590 x 200 units because we should be billing per mg. I think we have always billed any unspecified codes per vial (with the description, NDC code, and other info needed) in the past so I am trying to see if anyone else can back me up on this. I can never find what I need on the CMS site so I have not been able to find a NCD or LCD for Novitas. To me the correct billing would be:

J3590 (Keytruda, 50mg) x 4
96413

Any thoughts or opinions? Anything would be helpful right now. Thanks
 
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