Search Results - NGSMEDICARE

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Posting Date: 10/09/2024

Can Medicare Part B providers who bill on the professional CMS-1500 claim form, and electronic equivalent, bill unclassified drug code C9399?

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Posting Date: 10/09/2024

Can chemotherapy be split into two doses on two different dates of service if the patient was unable to complete a full dose in one day? For example, the patient's port was not functioning properly.

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Posting Date: 10/09/2024

Do all established drug HCPCS codes require the dosage amount in its description on the claim?

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Posting Date: 10/09/2024

Does Medicare Part B make payment for the unused portion of a multi-dose vial of a drug/biological?

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Posting Date: 10/09/2024

Does the waste with the JW modifier appended always go on the second line regardless of the billed amount? For example, the billed amount for the waste is higher than the administered amount.

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Posting Date: 10/09/2024

Have the payable diagnoses for IVIG and Rituximab changed? I don’t see all of the previously payable diagnoses in the applicable drug LCDs and articles.

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Posting Date: 10/09/2024

How do I bill a bilateral joint injection and HCPCS J1040 for two units?

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Posting Date: 10/09/2024

Is the GY modifier required on the drug code and the administration code for noncovered self-administered drugs?

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Posting Date: 10/09/2024

Is the shingles vaccine covered by Medicare?

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Posting Date: 10/09/2024

J3357, Ustekinumab (Stelara) is listed on the Self-Administered Drug Exclusion List: Medical Policy Article A53021, and it says “acceptable”. Does this mean it is excluded or not?

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