Unlisted drug bundled with implant

valerieeanderson

Networker
Messages
38
Location
Buckeye, AZ
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I keep getting this denial from Medicaid where they bundle the unlisted drug code J3490 to the implant code 11980. I have looked all over for guidance on this and how it should be billed to them and can't figure out why they are bundling the J code to the implant code. We are billing Testosterone pellets (J3490) with the implant code, 11980. Has anyone experienced this, how do I fight this? Or is there a specific way I should be billing this to Medicaid? Their billing manual is no help. Any assistance would be greatly appreciated.
 
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