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J3301 rejected by medicare

Geena Posted Wed 14th of March, 2012 13:42:29 PM

Medicare rejected CPT J3301 with the reason " rejected for relarional field in error". It was billed with 99213-25 and 11901 for 704.00. Why? We did not have this problem before.

SuperCoder Answered Wed 14th of March, 2012 14:12:54 PM

Try after adding the description for the procedure "KENALOG 10MG". Per the medicare website, the HCPCS codes that have "unspecified" or "not otherwise specified" in the description, have to show the description of the drug. The 2012 HCPCS code manual says "use this code for Kenalog 10; Kenalog 40; Tri-Kort; Kenaject 40; Genacort A40; Triam-A; Trilog"; so you have to tell medicare which drug/dosage is in the shot. I hope this will help

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