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Answers to Compliance and Medical Coding Questions.
  1. Jeffrey Posted 1 month(s) agoRelated Topics

    This is regarding CPT 95165. I believe CPT defines a dose as “the amount of antigen administered in a single injection from a multiple dose vial”. Medicare defines a dose as 1cc. It is my understanding that we should bill private payers according to the CPT definition of a dose unless that payer specifically says they follow the Medicare definition of a dose. Is this correct or should all payers be billed according to the Medicare definition of a dose (1cc)? Thank you

  2. SuperCoder Posted 1 month(s) ago

    Hi,

    Please check the below links:

    https://www.supercoder.com/coding-newsletters/my-otolaryngology-coding-alert/regulations-ease-95165-billing-but-also-add-requirements-article

    https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/34597_20/L34597_ALRG001_BCG.pdf

    Thanks

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  • Posted by 23108 Jeffrey, 1 month(s) ago. There are 2 posts. The latest reply is from SuperCoder.