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Oncology & Hematology Coding Alert

You Be the Coder:

Hesitate Before Appending Modifier 76 to J9999

 Question: We bill for medical oncology and use multiple dose forms of chemotherapy drugs to reach the patient's necessary dose. This involves multiple National Drug Codes (NDCs) that we must report separately. My question is, should we use modifier 76? Scenario: J9999 (1st NDC number reported) 400mg
J9999-76 (2nd NDC number reported) 200mg New Mexico Subscriber Answer: Ask yourself why you [...]