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J0178

Marina Posted Mon 11th of March, 2019 12:24:29 PM
What is the correct way to bill J0178 (eylea) and 67028 for both eyes done on same day?
SuperCoder Answered Tue 12th of March, 2019 03:36:31 AM

Hello Marina,

Thank you for your question.

 

The recommended dosage of aflibercept (eylea) is 2mg (0.05 mL) administered by intravitreal injection.

Since, the Intravitreal injection procedure was performed bilaterally, append modifier 50 (Bilateral Procedure) to CPT® code 67028.

 

Report the scenario as below:

67028-50 (to indicate that the procedure was performed bilaterally)

J0178 x 4 (2mg dosage per affected eye).

 

For more information, please find the undermentioned link by The U.S. Food and Drug Administration

https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/125387lbl.pdf

 

Hope that helps.

 

Please feel free to write if you have any question.

Thanks

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