tci Part B Insider - 2005 Issue 33

Medication Billing: Ditch 90782, Reach For G0355 For Injections

If your practice provides in-office injections of Avonex for multiple sclerosis patients, you should be claiming G0355 -- rather than 90782 -- for the injection, as of last January.Although some payers still treat Avonex as a "self-injectable" drug, you may charge Medicare carriers for injections provided in the office, as outlined by Medicare transmittal AB-02-072. Avonex is a biologic, not a chemotherapy drug, but G0355 still applies because Avonex administration has similar complexity and resource use as chemotherapy infusions. Tip: Although several carriers have begun to accept G0355 for Avonex injections, to date only Empire Medicare Services has...

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