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  • #256094
    niermanpm
    Participant

    Hi bethjones! J0588 is a valid codes for botox (as you found, J0858 is not). J0588 stands for: Injection, incobotulinumtoxinA, 1 unit The other 2 possible codes for botox type A are: J0585 – Botulinum toxin type A, per unit J0586 – Injection, Abobotulinumtoxina, 5 units Now – as for entering the NCD number – are you entering it into field 19, or onto the red shaded portion of the line item that the J code appears on? I have seen different insurers request that in either area, so it may be a good idea to include it on both areas just in case 🙂 Hope this helps!

    #244220
    Jeremy Hobbs
    Keymaster

    Claims being denied for invalid NDC

    #256095
    niermanpm
    Participant

    I am trying to bill botox injections for TMD I am using the code J0588 with the NDC on the vial but my claims are all rejected from the insurance stating NDC number. Procedure code of services rendered. I had previously tried billing J0858 but it denied as well. I need help ASAP with this issue. Thanks

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