Author Topic: Coding J1094  (Read 4558 times)

strotter

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Coding J1094
« on: March 26, 2013, 12:34:22 PM »
New to billing

Doctor put on Superbill

99214-25  1 unit dx 2989 and 30981
96374 1 unit dx 49390
J1094 4 units dx 49390

medicare paid on the 99214 and the 96374 but not on the J1094 said payment adjusted due to a submission/billing error(s)
what did I do wrong does the J code need the NDC? Modifier?

Appreciate the help on this

RichardP

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Re: Coding J1094
« Reply #1 on: March 26, 2013, 05:11:10 PM »
... medicare paid ... but not on the J1094 ...

You might read through both of these links to see if they help you.  Both end by saying they were told to bill J3490 with additional info instead of J1094.

http://www.supercoder.com/my-ask-an-expert/topic/j1094-and-j1100-decadeca-injections

http://www.aapc.com/memberarea/forums/showthread.php?t=49668

strotter

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Re: Coding J1094
« Reply #2 on: March 28, 2013, 10:48:18 AM »
RichardP

Thanks Richard for the help, I had read those too Both end by saying they were told to bill J3490 with additional info instead of J1094.as I was searching for an answer but I have used that code for other meds and Medicare did not pay on those either, and I had listed the NDC with those, but I will give it a try and post what the outcome is.