Forum - Questions & Answers

Dec 23rd, 2016 - colesen

Treatment of plantar warts with Intralesional Candida Antigen

Is 11900/11901 an appropriate code for injection of intralesional candida antigen for the treatment of plantar warts?
Is there a HCPCS code for the antigen? I could not find one.

Sep 13th, 2017 - ChrisW   256  1 

re: Treatment of plantar warts with Intralesional Candida Antigen

Correct coding would be to bill for any drug(s) used during the procedure. If there is not a HCPCS code for the drug, use the unclassified injection code J3490. Be sure to include the following information when using an unlisted or unclassified drug code.
• NDC Number
• Drug Name
• Dosage administered (e.g. 5 mg, 10 mg, etc.)
• Include how the number of units being billed on the claim is being administered (e.g. 5 mg = 1 unit, 10 mg = 5 units, etc.)
• Strength of drug administered (e.g. 25 mg/ml, 10 mg/10 ml, etc.)
• Single dose vial or Multi-dose vial

Sep 13th, 2017 -

Remember the Modifiers

Remember to use the appropriate modifier for any waste, such as the JW modifier.

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