Please note: When billing ALOXI using J2469, the billing unit is 25 mcg.
ALOXI should be billed at 10 units for a 0.25 mg dose.
ICD-9-CM Diagnosis Codes:
International Classification of Diseases, 9th Revision, Clinical Modification
These codes describe the patient’s diagnosis and must be present. All insurers
require diagnosis codes to determine that services provided are appropriate and
medically necessary. Billing codes should be as highly specific and relevant as
possible.
Diagnosis Codes* Relevant to Reimbursement of Aloxi:
|
ICD-9 Code Description |
|
ICD-9 # Code |
|
Chemotherapy Encounter |
|
V58.11
|
|
Nausea and Vomiting |
|
787.01
|
|
Nausea Alone |
|
787.02
|
|
Vomiting Alone |
|
787.03
|
*Check with your local payor to ensure appropriate coding, as it may vary.
The provider will have to supply a primary diagnosis code to identify the type of
cancer for which the patient is being treated.
New CPT Codes* for use on CMS 1500 with Medicare Part B
|
CPT Procedure Description |
|
CPT Code |
|
Additional sequential infusion up to one hour |
|
90767
|
|
Concurrent infusion |
|
90768
|
|
Each additional sequential push |
|
90775
|
CPT=Current Procedural Terminology Codes.
Enter appropriate CPT code based on route of administration.
*Effective January 1, 2006, under Medicare Part B.
Please see the accompanying full prescribing
information.