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HCPCS Code for Injection, infliximab, excludes biosimilar, 10 mg J1745

HCPCS code J1745 for Injection, infliximab, excludes biosimilar, 10 mg as maintained by CMS falls under Drugs, Administered by Injection .

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Official Long Descriptor

Injection, infliximab, excludes biosimilar, 10 mg

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Remicade Reaction with waste
Is there anyone that has had a patient have a reaction to a biologic and had to stop the infusion? We billed the J1745 code on two lines like we always do except in this particular situation the wast... [ Read More ]
Infliximab billing with a non chemo diagnosis code
When billing Medicare for J1745 with a non chemo diagnosis do we use a chemo administration charge 96413, 96415 or 96417 or wound we use IV infusion for therapy administration charge 96365 etc.?... [ Read More ]
Federal Carefirst remicade denials
We bill for J1745 and it gets paid then all of sudden it will get denied asking for more information..does anyone else have problem with carefirst FEP denying claim for J1745 all of sudden?... [ Read More ]
Remicaid infusions
Hi there! I was hoping someone could help us. A patient came in for a Remicaid infusion. The drug was mixed 40 units of the Remicaid drug (J1745), and the infusion started. During the infusion the pa... [ Read More ]
X modifiers
Are the X modifiers required now? I've been advise to code as follows when patient received IV Remicade and Joint injection. Many times we have patients that receive Dexamethosone as well. Please s... [ Read More ]
Billing for wasted medication
We have a patient that presented to our physician office for his scheduled Remicade 300 mg(J1745) infusion. One nurse mixed the medication while another nurse took the patient's vitals. It was noted... [ Read More ]
Is J7030 saline billable for remicade infusions?
Saline is used to keep the site open and help flush the remicade medication J1745 infliximab injection through. Would this be billable or included in the procedure? Debbie... [ Read More ]
xgeva
[b]Xgeva[/b] I don't know where you are located, but our CMS carrier is Noridian. There is a bulletin that specifically states only J9XXX and J1745 are billed w/chemo administration codes. All othe... [ Read More ]
99211-25
Can we bill 99211 with a -25 modifier? We also billed 96413, 96415, J1745, J7050. Stacey... [ Read More ]
Remicade admin/infusion denials
Hope someone is around this weekend to answer this post. Doctor provides services in his office with Remicade infusions. In addition to that he provides a steriodal drip prior to giving the infusion... [ Read More ]
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