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Testosterone therapy treatment


True Blue
Everett, WA
Best answers
Anyone here have experience concerning this? have a practice that is thinking of doing low testosterone therapy treatment. It would consist of weekly injections of J1070/J1080 for life, for patients with a dx code of hypogonadism 257.2.

The clinic wants to charge for the drug, inj administration fee, and office visit + 25 modifier(when appropriate), every week. Also bloodwork once a month for the first 3 months. Does anyone have feedback on the coverage for this course of treatment? Reimbursement restrictions/maximums? Any red flags? (Not Medicare, just commercial payors).