ollielooya
True Blue
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).
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).