LIST OF BILLABLE AND NON-BILLABLE ACTIVITIES

Medicare does reimburse for injectible drugs e.g., drugs that cannot be self-administered. Reimbursement is based on the lower of the billed charge or 95 percent of the average wholesale price of the drug. Currently, the majority of payors accept “J” codes; however, some commercial payors may request National Drug Codes (“NDC”) codes. ................
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