How do I bill for Xolair injections?

How do I bill for Xolair injections?

What’s the correct code to use? A: Medicare requires the use of CPT code 96372 –Therapeutic, prophylactic, or diagnostic injection, specify substance or drug; subcutaneous or intramuscular for the administration of biologics.

Is CPT code 96372 covered by Medicare?

CPT code 96372 is used for certain types of vaccinations. Medicare uses G0008 as the administration code for flu vaccinations. Procedure code 96372 is billed for injections related to the provision of chemotherapy services. The proper CPT code to use is 96401-96402.

What is the J code for Xolair?

J2357 is the HCPCS code for the prefilled syringe or vial.

Is Xolair Part B or D?

Yes! 98% of Medicare Advantage plans and Medicare Part D plans cover Xolair.

Can you bill multiple units of 96372?

The IM or SQ injection can be billed more than once or twice. If the drug is prepared and drawn up into two separate syringes and it is then administered in two individual injections in two distinct anatomic sites, you can bill two units of code 96372 (billing second unit with modifier 76).

Where do you inject Xolair?

XOLAIR Dosing and Frequency XOLAIR is given by an injection just under the skin (subcutaneous injection) every 4 weeks. This should be done by your healthcare provider, in a healthcare setting. XOLAIR is also available for self-injection with the prefilled syringe.

What is the monthly cost of Xolair?

Price. A one-month supply of omalizumab will cost patients between $541 and $2,706, depending on the dosage. This price is much higher than the cost of conventional treatments for asthma.

How much is a shot of Xolair?

The cost for Xolair subcutaneous powder for injection 150 mg is around $1,223 for a supply of 1 powder for injection, depending on the pharmacy you visit….Subcutaneous Powder For Injection.

Quantity Per unit Price
1 $1,222.98 $1,222.98

Are XOLAIR injections painful?

Injection site itching, redness, stinging, or pain may occur. Headache, leg, arm or ear pain may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Is XOLAIR self injectable?

The FDA has approved a self-injectable formulation of Xolair for appropriate patients with moderate to severe persistent allergic asthma, nasal polyps or chronic idiopathic urticaria, according to the manufacturers.