TEZSPIRE BILLING AND CODING GUIDE

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National Drug Code (NDC)1Administration MethodDosageCodePhysician Administered: Prefilled SyringeCarton contains one 210 mL (110 mg/mL) prefilled syringe10-digit NDC55513-112-0111-digit NDC55513-0112-01Although the FDA uses a 10-digit format when registering NDC numbers, payers often require an 11-digit NDC format on claim forms for BILLING purposes. It is important to confirm with your payer which NDC format is required. In addition, Medicaid requires that all claims for provider-administered drugs include NDC reporting requirement may also be implemented by some commercial payers. Guidelines for reporting the NDC number in the appropriate format, quantity, and unit of measure vary by state and by payer and should be reviewed prior to submitting a Common Procedure CODING System (HCPCS)2CodeDescriptionJ2356 Injection, tezepelumab-ekko, 1 mg For dates of service on or after July 1, 2022, healt

PLEASE PRINT OR TYPE APPROVED OMB-0938-1197 FORM 1500 (02-12) Completing the CMS 1500 for Physician Offices Sample CMS 1500 Form - Physician Office Administration This sample form is intended as a reference for coding and billing for product and associated services.

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