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Thread: J9250 Methotrexate w/ ICD9 555.9

  1. #1
    Join Date
    Apr 2007
    Location
    Bend Oregon Central Oregon
    Posts
    7

    Question J9250 Methotrexate w/ ICD9 555.9

    I've been getting denials left and right from Noridian Medicare when ever we bill out J9250 Methotrexate w/ 555.9 Regional enteritis of unspecified site. I've searched the CMS website and Noridian Medicare and can't find anything on limited coverage guidelines. Can anyone help with this?
    I'm at my wits end...
    Thank you,
    Nicole Curtis

  2. #2
    Join Date
    Apr 2007
    Location
    Duluth, Minnesota
    Posts
    1,135

    Default

    J9250 is a chemotherapy drug (all J9xxx codes are chemo drugs) -
    Donna, CPC, CPC-H

  3. #3
    Join Date
    Apr 2007
    Location
    ENGLEWOOD/DENVER
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    Default

    what method are you using to administer the Methotrexate? If oral, see J8610

  4. #4
    Join Date
    Apr 2007
    Location
    PHOENIX, AZ
    Posts
    4

    Default

    Quote Originally Posted by ncurtis View Post
    I've been getting denials left and right from Noridian Medicare when ever we bill out J9250 Methotrexate w/ 555.9 Regional enteritis of unspecified site. I've searched the CMS website and Noridian Medicare and can't find anything on limited coverage guidelines. Can anyon[/B][/B][/B]
    I'm at my wits end...
    Thank you,
    Nicole Curtis
    TRYING TO BILL CODE J9250 WITH DIAG CODE 696.1 FOR PSORIASIS IM INJECTIONM 25ML 1 CC????????????????

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