AAPC - Back to school
Results 1 to 4 of 4

Thread: Avonex Q3025

  1. #1

    Question Avonex Q3025

    AAPC: Back to School
    This drug is usually adminstered for MS patients. Does anyone know the admistration code for IM injection? The practice is stating to use 96401 but I am not sure and can't find any research stating this. I am not sure if it should be this admin code or 96372?

  2. #2
    Join Date
    Apr 2007


    we use 96372, 96401 is for more complex drugs/chemo

  3. #3

    Default Avonex Q3025

    i agree that 96372 should be used....
    96401 is admin code for chemo.

  4. #4

    Default Help

    We have a patient who is a resident of one of our assisted living facilities. She gets weekly injections of Avonex for MS. Currently the practice bills code Q3025 with code 96372 to medicare. Medicare is denying Q3025 for patient payment limitations apply for this service. However when we spoke to medicare they stated it denied because Q3025 was excluded from self administered drug list. 9/3/2013. Has anyone had any issues with this and what was your resolution?

Similar Threads

  1. Avonex billing code/Medicare reimbursment
    By brwilliams45 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 01-31-2014, 10:06 AM
  2. Avonex Help!
    By mallorymartinelli in forum Billing/Reimbursement
    Replies: 0
    Last Post: 07-16-2013, 08:14 AM
  3. Avonex Injection
    By eafaoro1 in forum Medicare Regulations
    Replies: 0
    Last Post: 01-17-2011, 09:49 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.