J9035 UHC

rhondareeney

Contributor
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Largo, FL
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How does everyone bill Avastin to UHC? Per their policy, they want J9035, but the drug amount for the code is much higher than what is administered.
 

lakeeyevicky

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Oh my gosh, we just started injections this week. So far they have been Medicare. I thought regardless, you bill 1 unit even though J9035 is 10mg. Did you ever find the answer?
 

fwnewbie

Expert
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New Haven, IN
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If a drug comes in a "one time use" vial or ampule, the whole amount is charged. I read somewhere that some drugs need the amount wasted shown too, but I don't know where I read that. :/
 

SharonCollachi

True Blue
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Clovis, CA
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Medicare: Effective for dates of service 9/1/19 and after, the allowed amount for intraocular bevacizumab (Avastin) has been updated to $94.00 per dose.

Notice it does not say "per milligram" or "per milliliter". It is one unit.
 
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