This coding information may assist you as you complete payer forms. Correct coding is the responsibility of the provider submitting the claim for the item or service. Please check with the payer to verify codes and special billing requirements. Genentech does not make any representation or guarantee concerning reimbursement or coverage for any service or item.
For assistance obtaining ICD-10-CM codes, select an indication to start:
|C44.01||Basal cell carcinoma of skin of lip|
|C44.111||Basal cell carcinoma of skin of unspecified eyelid, including canthus|
|C44.112||Basal cell carcinoma of skin of right eyelid, including canthus|
|C44.119||Basal cell carcinoma of skin of left eyelid, including canthus|
|C44.211||Basal cell carcinoma of skin of unspecified ear and external auricular canal|
|C44.212||Basal cell carcinoma of skin of right ear and external auricular canal|
|C44.219||Basal cell carcinoma of skin of left ear and external auricular canal|
|C44.310||Basal cell carcinoma of skin of unspecified parts of face|
|C44.311||Basal cell carcinoma of skin of nose|
|C44.319||Basal cell carcinoma of skin of other parts of face|
|C44.41||Basal cell carcinoma of skin of scalp and neck|
|C44.510||Basal cell carcinoma of anal skin|
|C44.511||Basal cell carcinoma of skin of breast|
|C44.519||Basal cell carcinoma of skin of other part of trunk|
|C44.611||Basal cell carcinoma of skin of unspecified upper limb, including shoulder|
|C44.612||Basal cell carcinoma of skin of right upper limb, including shoulder|
|C44.619||Basal cell carcinoma of skin of left upper limb, including shoulder|
|C44.711||Basal cell carcinoma of skin of unspecified lower limb, including hip|
|C44.712||Basal cell carcinoma of skin of right lower limb, including hip|
|C44.719||Basal cell carcinoma of skin of left lower limb, including hip|
|C44.81||Basal cell carcinoma of overlapping sites of skin|
|C44.91||Basal cell carcinoma of skin, unspecified|
Erivedge ICD-10-CM Coding
These tables are provided for informational purposes only. Many payers will not accept unspecified codes. If you use an unspecified code, please check your payer. Correct coding is the responsibility of the provider.
Please visit CMS.gov or other payers’ websites to obtain additional
guidance on their processes related to billing and coding for
single-use vials and wastage.
Codes for Advanced Basal Cell Carcinoma
|Diagnosis: ICD-10-CM||C44.01||Basal cell carcinoma of various sites, overlapping sites and unspecified|
|Drug: NDC |
Note: Payer requirements regarding use of a 10-digit or 11-digit NDC may vary. Both formats are listed here for your reference.
|50242-140-01||50242-0140-01||150 mg (28 capsules)|
ICD-10-CM=International Classification of
Diseases, 10th Revision, Clinical Modification.
NDC=National Drug Code.
If your office has prescribed Erivedge, but your patient’s insurer
has denied coverage, you can appeal that decision. Erivedge Access
Solutions might be able to help you as you resolve the situation. Here
is what you can do:
- Understand why the request or claim has been denied. This
should be in the insurer’s letter of denial or the patient’s
Explanation of Benefits (EOB) letter.
Erivedge Access Solutions for guidance as you put together an
appeal. Use these resources to help you gather the documents and
information you need for a successful appeal.
- Complete and submit the required forms and documents to the
insurer before the appeal deadline. Erivedge Access Solutions can
provide information about this process.