jennifercipriano
Contributor
Hi we have a list of drugs that have to be ordered through the patients specialty pharmacy therefore we cannot bill the drug to the insurance. Is there a modifier that we can put on the drug CPT so the insurance will know it was from a specialty pharmacy and not bought by us? We have been not billing the J(drug) code due to it being specialty. We do not need to be reimbursed for the drug just the time and administration. I have looks but cant seem to find anything. Thank you