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Wiki J7195 Reimbursment

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catharine

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We?ve been trying to bill Medicare for chemo drug infusion and keep getting rejection errors of 16 - Claim/service lacks information or has submission/billing error(s) which is needed for adjudication. This is a clinic setting and not hospital facility.


J7195 ? Factor IX recombinant (Benefix) 5,000 IUnits NDC #58394063403

Does anyone else bill these infusion drugs and how?

Thanks for your help!
 
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