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Motohashi N, Mori I, Sugiura Y, et al

Hoffstrom BG, Kaplan A, Letso R, Schmid RS, Turmel GJ, Lo DC, et al

Watch for these: Missing or incorrect ICD-10 diagnosis code Drug classified as self-administered under Medicare policy Missing NDC on the drug J-code line Injection billed in a facility setting where the physician can't separately bill the administration code MUE limit exceeded without documented medical necessity for additional units Per CMS Medicare Part B drug benefit policy , coverage determinations for specific drugs are governed by Local Coverage Determinations issued by each Medicare Administrative Contractor

[DOI] [PMC free article] [PubMed] [Google Scholar] Yang Y, Zhang N, Zhang G, Sauve AA
