AAPC - Back to school
Results 1 to 3 of 3

Thread: Qutenza patch

  1. #1
    Join Date
    Apr 2007

    Question Qutenza patch

    AAPC: Back to School
    Good Morning,
    Has anyone out there billed for Qutenza patch administration. I found that we have to bill with code 64999, but I do not know what the charge should be for the administration of the patch.

    Missy Heuer CPC, CANPC

  2. #2
    Join Date
    Apr 2007


    1. Although I don't know if they state this is the forum disclaimer, I have seen it stated that in a coding forum, other forum members can not suggest how much to charge for another list members chargemaster/fee schedule amount, it can be considered price fixing.

    2. http://www.cms.gov/McrPartBDrugAvgSalesPrice/

    In the above link Medicare pricing can be found

    J7335 Capsaicin 8% patch 10 SQ CM 25.554

    If you are billing 28 units to represent 280 Sq cm (20cm x 14cm) for placement of a whole patch, you can look at the reimbursement and use internal methods to determine appropriate chargemaster/fee schedule amount from there.

    Below is an example of a Medicare carrier stating 64999 is appropriate reporting; whereas, I had also seen on an internet search another Medicare carrier stating it is included in the EM

    "Reporting a separate service for application of Qutenza® is permitted. Such a service must be reported with NOC code 64999. No other neurologic or drug administration service code is appropriate for reporting application of Qutenza®."

  3. #3
    Join Date
    Apr 2007


    Missy Heuer CPC, CANPC

Similar Threads

  1. Blood Patch
    By dpumford in forum Interventional Radiology
    Replies: 2
    Last Post: 06-12-2014, 08:44 AM
  2. Replies: 5
    Last Post: 02-21-2014, 01:06 PM
  3. patch testing
    By CMBA4 in forum Dermatology
    Replies: 3
    Last Post: 01-14-2014, 06:43 AM
  4. dx for peyer's patch
    By kerileigh in forum Gastroenterology
    Replies: 0
    Last Post: 11-18-2010, 08:56 AM
  5. Wittmann Patch
    By Sparky79 in forum General Surgery
    Replies: 0
    Last Post: 01-13-2010, 05:31 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.