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Billing Velcade J9041

  1. Smile Billing Velcade J9041
    Medical Coding Books
    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
    Location
    Bettendorf, Iowa
    Posts
    133
    Default
    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
    relong@rccqc.com

  3. Default
    Thank you for your response!

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