AAPC - Back to school
Results 1 to 3 of 3

Thread: Billing Velcade J9041

  1. #1

    Smile Billing Velcade J9041

    AAPC: Back to School
    We need clarification on billing Velcade to Medicare. How does Medicare prefer it when administered with a pre-med. They will not accept 96409 as the initial but we think it should.

  2. #2
    Join Date
    Apr 2007
    Bettendorf, Iowa


    if the velcade is the only chemo given it would be considered the primary (96409), since its usually given as IVP, and any pre-meds would be 96367 (infusion) or 96375 (IVP).

    If you're billing correctly I would submit a redetermination with supporting documentation.
    Ruth Long CPC,CHONC

  3. #3


    Thank you for your response!

Similar Threads

  1. adverse effects from Velcade
    By smithjm in forum Diagnosis Coding
    Replies: 3
    Last Post: 12-14-2015, 11:12 AM
  2. Replies: 2
    Last Post: 04-24-2015, 04:20 PM
  3. Replies: 0
    Last Post: 08-24-2012, 08:09 PM
  4. ivp VELCADE
    By NJcoder in forum Hematology/Oncology
    Replies: 2
    Last Post: 06-26-2012, 11:48 AM
  5. J9041 with waste billing
    By lirby2005 in forum Hematology/Oncology
    Replies: 2
    Last Post: 08-27-2011, 09:21 PM

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.