DecisionHealth, DecisionHealth - 2011 Issue 10 (October)

Ask a Part B News Expert: Gamma globulin injections

Q. We have a Medicare patient diagnosed with 279.00 (hypogammaglobulinemia, unspecified) who is receiving 4 CC of gamma globulin every 30 days.  At this point we haven’t received any guidance from Medicare. Are we billing J1460 (gamma globulin 1 CC inj) correctly? Are there any modifiers used for this J-code that should be used? Will these claims get paid or denied?

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