It is administered in three oral doses usually at two, four and six months of age. An in-time certification form is required to cover the infant for the entire RSV season which is usually five injections at monthly intervals. Indicated for individuals with moderate to severe active Crohn's disease who have failed conventional therapy administered as a single injection or three injections for fistulizing Crohn's disease. First monoclonal antibody for metastatic breast cancer to be utilized as first line treatment as a combination agent with Taxol for individuals who over-express HER2 protein and have had no chemotherapy. It will be used as a single agent for people who over-express HER2 protein and has completed one or two chemo regimens.
Administration is weekly.
The CPT codes involved are 90471 and 90472. Please note this code range includes immunization codes added with the 1999 update as well as existing codes. You should then file the vaccine administration codes 90471 or 90472 as a separate line on all claims to receive the administration fee. The administration fee will not reject after April 1, 1999. This policy is effective for electronic and paper claims.