by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Feb 9th, 2015 - Reviewed/Updated Aug 9th
Hospital Outpatient Department (HOPD):
Coding And Billing For JETREA®
The information contained below is provided for informational purposes only and is not intended to provide specific guidance on how to code, bill, or charge for any product or service. The following list provides possible codes that may relate to the use of JETREA for its approved indication and is not intended to be comprehensive. It is the sole responsibility of the provider to select proper coding for rendered products or services and to ensure the accuracy of all claims used in seeking reimbursement. ThromboGenics cannot guarantee payment of any claim.
| Classification Category | Coding System | Code | Description | Notes |
|---|---|---|---|---|
| Diagnosis | ICD-9-CM | 379.27 | Vitreomacular adhesion, vitreomacular traction1,* |
|
| Administration Procedure | CPT Code | 67028 | Intravitreal injection of a pharmacologic agent2 |
|
| Drug Code | HCPCS | NEW: J7316† Effective 1/1/14 |
Injection, Ocriplasmin, 0.125 mg3 |
|
| C9298‡ | Injection, Ocriplasmin, 0.125 mg4 |
|
||
| NDC | 24856-0001-00 | One single-use vial of JETREA5 |
|
*Excludes traction detachment with vitreoretinal organization (361.81).
†Effective as of January 1, 2014
‡Effective as of April 1, 20134
References/Resources
About Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Christine Woolstenhulme, CPC, QCC, CMCS, CMRS, is a Certified coder and Medical Biller currently employed with Find-A-Code. Bringing over 30 years of insight, business knowledge, and innovation to the healthcare industry. Establishing a successful Medical Billing Company from 1994 to 2015, during this time, Christine has had the opportunity to learn all aspects of revenue cycle management while working with independent practitioners and in clinic settings. Christine was a VAR for AltaPoint EHR software sales, along with management positions and medical practice consulting. Understanding the complete patient engagement cycle and developing efficient processes to coordinate teams ensuring best practice standards in healthcare. Working with payers on coding and interpreting ACA policies according to state benchmarks and insurance filings and implementing company procedures and policies to coordinate teams and payer benefits.
Quick, Current, Complete - www.findacode.com