Question:
This is a follow-up question to last week’s Q&A about reporting J3471. If a physician uses 800 USP units of the product described by that code, how would it be reported on the claim?
Answer:
According to the National Correct Coding Initiative Manual for Medicare Services, the physician may report HCPCS code J3471 on more than one line of a claim, appending modifier 59 to additional claim lines. No more than 999 units of service should be reported on any one claim line.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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