Walker22
Guest
I have a Medicare denial for a pump refill that I am trying to get paid. We order a custom compounded drug for this patient. On the day that the patient was due to come to our office for the refill, she was admitted to the hospital for an unrelated condition. My physician took the meds to the hospital and refilled the pump there. We billed 95991, 62368, and J3490 in place of service 21 (inpatient hospital). Medicare paid the programming code (62368), but denied the other 2 codes as "invalid place of service".
Does anyone know how I would go about appealing this? I can't find anything on the CMS website to address this situation. Thanks for your help!
Does anyone know how I would go about appealing this? I can't find anything on the CMS website to address this situation. Thanks for your help!