Primary Care Coding Alert
Query Payment Guidelines for This Hormone Treatment
Question: How do we bill for chorionic gonadotropin (HCG) when our provider supplies it and the patient self-administers at home? Codify Subscriber Answer: HCG is a hormone used in infertility treatments to aid the development and release of eggs in women’s ovaries and increase sperm count in men. Supply of the drug is coded using HCPCS code J0725 (Injection, chorionic gonadotropin, per 1,000 USP units). Coverage and payment policy may vary by payer. You should contact your payer for any prior authorizations and reimbursement guidelines for HCG. If your patient, rather than the payer, will be responsible for the charges, you should also let the patient know and collect at the time the HCG is supplied to avoid any surprises or difficulties collecting after the fact.
Primary Care Coding Alert
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Query Payment Guidelines for This Hormone Treatment
Question: How do we bill for chorionic gonadotropin (HCG) when our provider supplies it and [...]
