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Yanagiba, K

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Here are examples of what you need: - The full name of the patient - The full name and credentials of the healthcare professional(s) who administered the injection - The date and time of the drug administration by injection, including the start and stop times of the infusion - Docetaxel prescribing information - Patient records showing they have been diagnosed with cancers that this injection treats - Blood test results - Imaging tests showing the size and location of tumors - The exact and total dosage of the injection, including the route ## **Billing requirements for J9171** Besides the documentation requirements above, please make sure to take note of or have the following: - 1 mg is equal to 1 unit - Have the relevant ICD codes based on the patient's cancer

Make sure the vendor specifies which form is in the capsule