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Wiki J1815 and J1817

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encomma-watson

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Greensboro, NC
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I need a bit of help. My providers give insulin to pt's when they come in with extremely high diabetes 300 +. According to Cigna Medicare in North Carolina, they will not reimburse for J1815 or J1817 stating that those 2 codes have exclusion dates of 01/01/2003. What should I do at this point. Should we have the patient's sign ABN forms so that they would pay for the insulin that we purchased in our office? Please help. Now I am desparate.
 
encomma-watson said:
I need a bit of help. My providers give insulin to pt's when they come in with extremely high diabetes 300 +. According to Cigna Medicare in North Carolina, they will not reimburse for J1815 or J1817 stating that those 2 codes have exclusion dates of 01/01/2003. What should I do at this point. Should we have the patient's sign ABN forms so that they would pay for the insulin that we purchased in our office? Please help. Now I am desparate.
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I know this is from 2011 but did you ever get a reply? I'm having difficulty with J1815 and trying to do some research on how to get reimbursed.
 
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