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Testosterone therapy: Potential benefits and risks as you …

    https://www.mayoclinic.org/healthy-lifestyle/sexual-health/in-depth/testosterone-therapy/art-20045728
    Your doctor will likely measure your testosterone levels at least twice before recommending testosterone therapy. Treating normal aging with testosterone therapy is not advisable. If you don't have a medical condition that's contributing to your decline in …

Billing and Coding: Treatment of Males with Low …

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57615
    Title XVIII of the Social Security Act (SSA), §1862 (a) (1) (A), states that no Medicare payment shall be made for items or services that “are not reasonable and …

Testosterone Therapy: Review of Clinical Applications

    https://www.aafp.org/pubs/afp/issues/2017/1001/p441.html
    Testosterone therapy may also be used to treat hypoactive sexual desire disorder in postmenopausal women and to produce physical male sex characteristics in …

Billing and Coding: Treatment of Males with Low …

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58828
    Injectable testosterone pellets (brand name Testopel ®) may be covered, by Medicare, for the United States (U.S.) Food and Drug Administration (FDA) approved …

Testosterone Replacement or Supplementation …

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/testosterone-replacement-supp-therapy.pdf
    Injectable testosterone and Testopel (testosterone pellets) are medically necessary for replacement therapy in conditions associated with a deficiency or absence of …

Testosterone Testing | Quest Diagnostics

    https://www.questdiagnostics.com/healthcare-professionals/clinical-education-center/faq/faq165
    Testosterone is important for maintaining muscle mass and strength, bone mass, fat distribution, sex drive, and sperm production in men. Low testosterone associations …

Medical Necessity Statment - WPATH World …

    https://www.wpath.org/newsroom/medical-necessity-statement
    4 Definition from Blue Cross Blue Shield Settlement (Section 7.16 (a)) available at www.hmosettlements.com documents, as well as medically necessary hormone …

Letter of Medical Necessity - Testopel

    https://www.testopel.com/_assets/pdfs/letter-of-medical-necessity.pdf
    TESTOPEL® (testosterone pellets) are cylindrically shaped pellets 3.2mm (1/8 inch) in diameter and approximately 9mm in length. Each sterile pellet weighs approximately …

Billing for Testosterone Shot | Medical Billing

    https://www.outsourcestrategies.com/resources/billing-for-testosterone-shot/
    In order to establish medical necessity, at least two total testosterone levels are needed. It is required to take two morning samples on different days between 8:00 …

cpt code for testosterone – j3490, 11980, 84403

    https://www.medicalbillingcptmodifiers.com/2017/10/cpt-code-for-testosterone-j3490-11980.html
    The medical record must substantiate the medical need for testosterone pellets (Testopel®) with documentation of unsuccessful treatments of standard …



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