Admin Code for J1602

Cahaba has verified that they do not accept CPT codes 96401-96549 for subcutaneous administration of monoclonal antibodies. However, there is no information regarding the appropriate IV administration code for these drugs. Would the chemotherapy IV administration code 96413 or the IV administration therapy code 96365 be more appropriate for the monoclonal antibody drugs, such as Simponi, J1602

Comments

  • What is J1602 some of the MACS instruct to use 96372 ???

    Karyn Cardenas-Foray, CPC, CPMA ,CHCA, CEMC,CIMC,CSEMC
    AHIMA ICD10 PROFICIENT
    Government Reimbursement Analyst-Sharp Health Care
    PFS-CCD 3rd Floor
    858-499-4382
  • What is J1602 some of the MACS instruct to use 96372 ???

    Karyn Cardenas-Foray, CPC, CPMA ,CHCA, CEMC,CIMC,CSEMC
    AHIMA ICD10 PROFICIENT
    Government Reimbursement Analyst-Sharp Health Care
    PFS-CCD 3rd Floor
    858-499-4382

  • We administer Simponi J1602 via IV infusion 96413 even Medicare.(Novitas)


    Mindy L Dowd CPC,CPMA
    Denver Arthritis Clinic
    200 Spruce St
    Suite 100
    Denver,CO 80230
    (303)302-7433
    mdowd@dacdenver.com

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