What is the CPT code for iron infusion?

96374 is the code for the physician to administer the IV.

What is the J code for venofer?

Iron Sucrose (Venofer) HCPCS code J1756: Billing Guidelines.

Does Medicare pay for Injectafer?

Medicare does not have a National Coverage Determination (NCD) for Feraheme® (ferumoxytol) or for Injectafer® (ferric carboxymaltose).

Is Injectafer covered by UnitedHealthcare?

For continuation of therapy, all of the following: o Coverage has previously been provided by UnitedHealthcare for Feraheme or Injectafer for the treatment of IDA; and o Submission of recent laboratory results (within the past 4 weeks) since the last Feraheme orInjectafer administration to demonstrate need for …

What is CPT code Q0138?

Q0138 – Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)

What is the J code for ferrlecit?

Sodium Ferric Gluconate Complex in Sucrose (Ferrlecit) HCPCS code J2916: Billing Guidelines.

What is the J code for Retacrit?

2021 HCPCS Code Q5106 : Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units.

Does insurance cover venofer?

Generally, Venofer is covered by Medicare, Medicaid, and private payers when used according to its approved indications.

Does Medicare cover ferumoxytol?

Medicare does not have a National Coverage Determination (NCD) for Feraheme® (Ferumoxytol), Injectafer® (ferric carboxymaltose), or Monoferric® (ferric derisomaltose). Local Coverage Articles (LCAs) exist; refer to the LCAs for Parenteral Iron Administration Coverage in Non-Dialysis Usage.

What is the difference between Injectafer and Venofer?

Injectafer contains the active drug ferric carboxymaltose, while Venofer contains the active drug iron sucrose. Both Injectafer and Venofer belong to a class of medications called iron replacement products. (A class of medications describes a group of drugs that work in the same way.)

Is the coding for Injectafer dependent on the insurer?

Coding for Injectafer is dependent on the insurer and the care setting in which the drug will be administered. These tables are provided for informational purposes only, and you have the responsibility to ensure that claims and codes submitted are accurate, complete, and applicable.

Is there a secondary code for Injectafer for Ida?

Secondary code suggestions only; appropriate codes not limited to those listed above. Injectafer is indicated to treat IDA; it is not indicated to treat the above listed underlying conditions. Some listed diagnosis codes may indicate a subcategory and be nonbillable.

What are the billing codes for ferric carboxymaltose?

Injectafer (ferric carboxymaltose injection) 750 mg iron/15 mL single-use vial (individually boxed) Product-specific billing code: HCPCS: J1439: Injection, ferric carboxymaltose, 1 mg: Drug administration codes: CPT ® * 96374 or 96365: Therapeutic, prophylactic, or diagnostic injection (specify substance or drug) Intravenous push single or

How many milligrams of iron in Injectafer?

Injectafer 750 mg iron/15 mL single-use vial: 2 vials per 35 days Max Units (per dose and over time) [HCPCS Unit]: 1500 billable units per 35 days