Ask the expert: Can we report CPT code 90772 with a J code?
HIM Connection, July 9, 2007
Want to receive articles like this one in your inbox? Subscribe to HIM Connection!
Q: Can we report CPT code 90772 with a J code? (e.g., J0881 [injection, darbepoetin alfa, 1 mcg], [non-end-stage-renal-disease use]), used for Aranesp®?
We keep getting a local medical review policy (LMRP) edit stating "no supporting diagnosis" when we report 90772 for a diagnostic, prophylactic, or therapeutic injection, subcutaneous or intramuscular.
A: It is appropriate to report 90772 with J0881. The lack of a medical necessity ICD-9-CM diagnosis code is triggering the LMRP edit. Because different facilities have varying fiscal intermediaries with specific LMRPs, you should contact the manufacturer of Aranesp® for reimbursement assistance. The reimbursement hotline phone number is 800/272-9376. Or, go to www.reimbursementconnection.com. The hotline operator will check your facility's LMRP and the diagnosis codes you need to meet medical necessity.
Editor's note: This question and answer was adapted from the July issue of APC Answer Letter. For more information, click here.
Want to receive articles like this one in your inbox? Subscribe to HIM Connection!
Related Products
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Capturing all necessary codes for IUD insertion and removal can be challenging
- QA:Coding multiple initial infusions
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- HIPAA Q&A: Level of encryption needed for email
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- What does case-mix index mean to you?
- Q&A tackles coding questions about injections and infusions
- Joint Commission Center announces handoff communication solutions
- Inside best practice: Reduce patient falls with a stoplight
- Identify modifiable risk factors to prevent patient falls
- Searched