Wiki Lupron Injections

[sorcha48]

When the patient is receiving Lupron injections as part of the treatment of Prostate cancer, should it be billed as 96402?

It is currently being billed as 96372. I understand that if it is being used as part of the treatment of a non-oncology patient.

But does CMS recongnize the difference?

Thank you.

 

[sls314]

When the patient is receiving Lupron injections as part of the treatment of Prostate cancer, should it be billed as 96402?

It is currently being billed as 96372. I understand that if it is being used as part of the treatment of a non-oncology patient.

But does CMS recongnize the difference?

Thank you.

This LCD reference article for Palmetto lists 96402 for Lupron: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59160

 

[sorcha48]

Thank you so much.