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Primary Care Coding Alert

Reader Question:

Scratch J0570 From Your Superbills

Published on Thu Oct 13, 2011

Question: We're receiving denials when we report codes J7610 and J0570. Can you advise regarding what the problem might be?Tennessee Subscriber Answer: Code J0570 (Injection, penicillin G benzathine, up to 1,200,000 units) was deleted on January 1, 2011. It crosswalks to new code J0561 (Injection, penicillin G benzathine, 100,000 units), which you should report instead. Code J7610 (Albuterol, inhalation solution, compound product, administered through DME, concentrated form 1 mg) is still an active code, but Medicare coverage and payment is at the judgment of the Medicare contractor. Best bet: Contact your Medicare contractor or other payer to determine whether it will pay for J7610 and, if so, under what conditions.
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