JUN 21, 2022
Novitas Confirms J9035 Should Not Be Used to Bill for Intravitreal Injections of Avastin
In its latest revision to LCA (A53121) for anti-VEGF treatments applicable as of April 1, the Medicare administrative contractor Novitas added coding guidance language confirming once again that J9035 should not be used to bill for Avastin intravitreal injections. The correct code is J7999.
Although this is consistent with Novitas coverage policy dating back to Aug. 22, 2019, member feedback indicates that implementation has been unclear. Please review the Novitas’ latest local coverage articles (LCA) for specific coding guidance.
Additional changes to the LCA include coding guidance for new treatments, including Byooviz and Susvimo.