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Xolair injection

  1. Default Xolair injection
    Medical Coding Books
    do anyone have any information on how to bill this if multiple injections?


    Each injection of Xolair the patients receive is 150mg. Therefore if a patient received two injections – each one will be 150mg. A single injection will be the 5mg x 30. How should we code these. Usually a patient receives more than one injection.


  2. #2
    We code it as
    J2357 x60 for a 300 mg dose
    96372 x2 with mod. 59

  3. Default xolair injection
    if you search "xolair" in this forum there is a thread on this very subject in 2008(different admin codes) which provides a lot of info. My question is anyone having difficulty getting the subq administration code reimbursed(pt brings in own med). Federal BCBS paid on 90772 on this person's account many times and as soon as it changed to 96372 it's being denied for medical necessity????

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