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Gamunex and kidney transplant

  1. #1
    Default Gamunex and kidney transplant
    Exam Training Packages
    A medicare pt receives the drug gamunex. The codes used are V42.0 and 996.81, complications of a transplanted kidney. Both codes have hit the edits as not payable codes.
    Can anyone provide a similiar code that is payable? Also why would those codes not be correct with gamunex? Much appreciate your thoughts.

  2. #2
    Default Kidney disease and gamunex infusions
    A medicare pt is infused with the drug gamunex. The codes used are V42.0 and 996.81, complications of a transplanted kidney. Both codes have hit the edits as not payable codes.
    per Medicare. Can anyone discuss why would those codes are not correct with gamunex? Thank you for any ideas

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