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What is an appropriate code to use when a teaching dose of ENBREL has been administered?

April 26, 2017administered appropriate code dose enbrel Teaching

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What is an appropriate code to use when a teaching dose of ENBREL has been administered?

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If a teaching dose or teaching doses of ENBREL are administered in your office, the CPT code 90782 (therapeutic subcutaneous injection) may apply. A health insurance company may advise you to use ENBREL-specific HCPCS code J1438 (“etanercept—ENBREL”) to file the claim. For more on coding, visit the Billing and Coding section. * Physicians are responsible for determining the most applicable code(s) given the actual services provided. Please call 1-888-4ENBREL (1-888-436-2735) from 8 am to 8 pm, Eastern time, Monday through Friday or visit www.medicare.gov for more information.