What is the billing code for Cathflo?
The billing code, or J code, for Cathflo is J2997, often listed under the generic name Alteplase. This billing code is associated with a 1 mg billing unit. A single billing unit under a J code may not represent the total amount of the drug used. A facility may bill for however many units are administered.
Providers may bill for Cathflo using the Healthcare Common Procedural Coding System (HCPCS) code J2997, Injection, alteplase recombinant, 1 mg. HCPCS codes are only separately payable by Medicare in the outpatient hospital, physician office, and free-standing clinic (i.e., a clinic that is not operated as part of a hospital) settings. Providers should be sure to bill the appropriate number of units that corresponds to the total amount of Cathflo administered (e.g., bill two units of J2997 to report administration of a 2mg dose).
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