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code for Racemic EPI

Bonnie Posted Tue 03rd of January, 2012 15:42:19 PM

Can you please tell me which code to bill Racemic EPI under we
billed J7699 and UHC denied the claim stating invalid CPT.

SuperCoder Answered Tue 03rd of January, 2012 20:05:47 PM

J7699 is correct.
When you submit a claim to Medicare for unlisted drugs and/or services, always include a description and fee on the claim. It is likely Medicare will deny your claim pending review of additionally requested information. Medicare will determine coverage, medical necessity, and payment upon review

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