tci Part B Insider - 2016 Issue 31

Reader Question: Are You Up to Speed on How to Bill J7050?

Question: I saw your advice to report J7050 with Remicade in the “Part B Coding Coach” article “Focus on Crohn’s Coding: Diagnosis, Management, and Treatment Codes for Review” (Part B Insider, vol. 17, no. 19). My question is whether or not insurers will bundle this into the infusion code?--Illinois Subscriber Answer: The insurer will not separately reimburse you for J7050 (Infusion, normal saline solution , 250 cc), and you may face a denial if there is insufficient documentation to support hydration if you are only reporting the fluids used for hydration without the necessary code, in...

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