j0129

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    Wiki J0129 Orencia Billing to BCBS Medicare Advantage

    We have several patients at our Rheumatology office that receive Orencia. However, we are having difficulty receiving payment for the drug when billing BCBS Medicare Advantage. We bill J0129 with the JA modifier and as of recent, with the JZ modifier attached as well. Most claims were billed...
  2. K

    Wiki Billing J0129 to Medicaid

    Hi everyone, I work in a Rheumatology office where we perform several injections and infusions weekly. As of recent, Medicaid has denied J0129 Orencia as a non covered charge due to the fact it was recently added to the SAD list. Any advice on how to bill this would be greatly appreciated, as...
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