Author Topic: J3880 admin code  (Read 99 times)

sls

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J3880 admin code
« on: May 30, 2018, 08:17:41 AM »
Does anyone know what the correct admin code for Pa Medicare for procedure J3880.  We used 96413 but that denied stating invalid procedure.  Insurance we billed is United Healthcare Medicare. And can you tell me where or if there is documentation.  Thanks

Michele

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Re: J3880 admin code
« Reply #1 on: May 31, 2018, 08:26:51 AM »
96413 is a valid covered Medicare procedure code and is for the administration of chemotherapy, intravenous infusion technique.  So if that is what you are doing my next question would be are you getting this denial with any other carriers?   If you are only getting this denial with UHC they may have a separate code that they require is used for reporting this service.  Or the denial may be a mistake on their end.  If UHC is the only carrier denying that code then I would start by contacting them and asking them to explain the denial. 

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