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Pricing for J7699

Joaquin Posted Tue 25th of February, 2014 13:23:53 PM

What is the best way to charge/price for a 'J7699', where there is no specific code for a drug administered through DME? IE., Racemic EPI

I did check with a carrier and they have no coverage policy for this code. Thank you

SuperCoder Answered Thu 27th of February, 2014 15:09:51 PM

When Not Otherwise Classified (NOC) drug code J7699 is billed for miscellaneous inhalation drugs, the claim must be accompanied by the detailed order information described above and a clear statement of the number of ampules/bottles of solution dispensed.

Refer to the Supplier Manual for more information on documentation requirements.

Joaquin Posted Mon 03rd of March, 2014 12:29:52 PM

By Supplier Manual, you are referring to the DME Supplier Manual? Thank you

SuperCoder Answered Mon 03rd of March, 2014 16:54:26 PM

Yes.

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