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Thread: Medication JCode fees?

  1. #1

    Question Medication JCode fees?

    AAPC: Back to School
    Can someone help me in how to determine a fee to charge for J7321 Supartz?
    There are no RVU's assigned to these codes. Does one determine by the cost of the drug per dose?

  2. #2
    Join Date
    Apr 2007
    Denver Colorado


    For the 1st quarter 2010, Medicare allows $92.29 for 1 billing unit of J7321. Most providers set their fees at cost plus a percentage to cover handling, ordering expenses, etc.

  3. #3
    Join Date
    Apr 2007
    St. Joseph County, Indiana


    To find all the fees for J codes, refer to your local Medicare carrier website. I am in Indiana and Michigan. The fees for these state were in the same sections as the regular physician fee schedules. Indiana Medicare (NGS Medicare) has a link to fee schedules on their home page.

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