Results 1 to 4 of 4

Billing for Provenge

  1. Default Billing for Provenge
    Medical Coding Books
    We are getting edits on our administration codes when billing for Provenge. They are asking for a modifier for both codes... 96365 and 96375. Are any of you getting this? If so what modifier are you using for these codes?

  2. Default
    Are those the only CPT codes on the claim?

  3. #3
    We are using infusion code 96413 for the Provenge. May want to veryify with your drug rep about the guidelines for your state or check directly with Dendreon at 877-336-3736.

  4. #4
    Grand Rapids, MI
    We are also billing Provenge as 96413.
    Ann Campbell, CPC, CEMC
    Cancer & Hematology Centers of Western Michigan

Similar Threads

  1. Replies: 1
    Last Post: 04-29-2016, 09:44 AM
  2. Provenge and Incident To guidelines?
    By in forum Urology
    Replies: 1
    Last Post: 11-09-2015, 11:23 AM
  3. Replies: 2
    Last Post: 04-24-2015, 04:20 PM
  4. Replies: 0
    Last Post: 08-24-2012, 08:09 PM
  5. CPC owner of Medical billing service offers remote billing
    By dfallows in forum Resume Postings
    Replies: 0
    Last Post: 06-18-2008, 12:11 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.