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Primary Care Coding Alert

On the Cutting Edge:

Use 2 Questions to Pin Down J7611-J7614 Inhalation Coding

Published on Sat Aug 09, 2008

You can crosswalk brands, deleted code with this flowchart A year and a half has passed since you stopped using drug-specific noncompounded inhalation solution codes, meaning you-re going to need a refresher to start reusing this system. Start using J7611-J7614 for all payers, says Denae M. Merrill, CPC-E/M, owner of Merrill Medical Management in Saginaw, Mich. Appeal or adjust the codes as needed if insurers reject them. Nudge insurers to update their systems- by including in your appeal the explanation that CMS reinstated J7611-J7614 in lieu of J7602-J7603, effective April 1, 2008. Include a copy of the MLN Matters article available at http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5981.pdf or the transmittal from http://www.cms.hhs.gov/transmittals/downloads/R1492CP.pdf. Speed tip: To get the correct J7611-J7614, answer these questions using the following chart and key words:
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