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When a physician administers an infliximab infusion, the billing team needs two codes on the claim: A CPT code for the infusion service (96413) A J code for the drug (J1745) Without both, the claim is incomplete and will either deny or underpay
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Ask the seller whether any required step remains incomplete. Confirm the actual recorded outcome against the agreed resolution.
Describe what you expected and what remains unclear. If the stated response period passes, follow the seller's published follow-up route.
Look at any explanation placed near the qualified claim. Check whether different versions have different limits or starting values.