Pain Pump Medications

lcole7465

Guru
Messages
243
Location
Toledo, OH
Best answers
0
I have an Ohio BWC (Sedgwick) claim for a pain pump refill for a Prialt pump. I normally bill J2278 for the Prialt and they have paid this code in the past. On the current claim I have they are telling me that I need to change the J2278 to 99070 with the drug information. They are saying that it's because the NP is not licensed to dispense drugs. Which she is and they have paid for this NP on this same procedure on other patients. I'm not comfortable billing this with 99070.

Any suggestions??
Thanks
 

SharonCollachi

True Blue
Messages
1,201
Location
Clovis, CA
Best answers
3
Good luck. Personally, I would tell them they can find another provider to do it. I have had zero luck with fixing issues such as this with Ohio BWC. We stopped seeing their patients altogether a few years back.
 
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