Medical Billing Forum

General Category => General Questions => Topic started by: statprofit on June 16, 2010, 01:05:53 PM

Title: J9035 for Medicare
Post by: statprofit on June 16, 2010, 01:05:53 PM
I've Been having trouble billing Medicare for CPT code J9035. the representatives at Medicare are Absolutely impossible to get a straight answer for.  If their is anyone that could help with this problem I would really Appreciate it... thank you!!!

Eileen  
Title: Re: J9035 for Medicare
Post by: Michele on June 16, 2010, 05:27:57 PM
Are they being denied?  For what reason?
Title: Re: J9035 for Medicare
Post by: blhoffman on June 17, 2010, 09:02:30 AM
Hi statprofit,

For the record - I found this when questioned in another article about this code.
CMS Transmittal 1805 Change Request 6594 announces a new code for bevacizumab injection (Avastin). The new code Q2024 injection, bevacizumab, 0.25mg does not replace the current HCPCS J9035 for chemotherapeutic uses.
The new code Q2024 is to be used for the ophthalmologic use of bevacizumab. Very small doses of bevacizumab are used to treat various diseases of the eye and the new Q code was developed to bill for the intravitreal injection of this drug.
Oncology practices should continue to use the current HCPCS J9035 Injection, bevacizumab, 10 mg for chemotherapeutic uses.

I found this information with Medicare. Link provided below. If you are an oncology are you using a QR modifier?
https://www.cms.gov/Transmittals/downloads/R588CP.pdf

ALSO, very informative is this link. It might also prove helpful to you.
http://www.wpsmedicare.com/part_b/publications/2010_0125_highdollar.pdf
Title: Re: J9035 for Medicare
Post by: Michele on June 17, 2010, 12:06:49 PM
BL you are an awesome researcher!   ;D