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J2353 Off label chemo drug special consideration

  1. Default J2353 Off label chemo drug special consideration
    Medical Coding Books
    I have been trying to bill for a pt who is receiving Octreotide/Sandostatin Medicare does not recognize the J2353 so, we are suppose to put a J9999 and notes reguarding the mgs the NDC# and "Off Label Chemo Drug Special Consideration" I have to fight with Medicare every time we bill for this, is there anyone who can tell me the secret to getting this pd. I have talked to Medicare staff and been told how to bill for this issue and still I get no where. Is anyone having luck billing for this situation?
    Thank you so much for a response
    Last edited by MChappell159; 05-03-2011 at 12:07 PM.

  2. #2
    Bettendorf, Iowa
    We bill using J2353 without any problems for dx 157.4; 259.2; 209.03.

    Are you using it off label? Which MAC are you?
    Ruth Long CPC,CHONC

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