lcole7465
Expert
We have been getting denials from Medicare for this drug, HCPCS code J0490 - as not covered when self administered. The office manager keeps insisting on adding modifier -JA to the code to get it paid. I don't see that it qualifies for this modifier as this is given intravenously and not subcutaneously, but I am seeing that this can be self administered by the patient. Should the modifier -JA be added to this claim for this reason?
Thank you
Thank you