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doi: 10.1186/s12951-021-01132-8

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## **Documentation requirements for J1626** As with any procedure, especially involving injecting drugs into patients, it's important to document the following before you file for a claim that includes this code: - The full name of the personnel who administered the injection + their credentials - The name and address of the facility where the injection was administered - The full name of the patient - The date and time of the drug administration by injection - Patient records showing they have been diagnosed with medical conditions that require chemotherapy, radiation therapy, or surgery, complete with symptoms they've been experiencing and reasons for these specific treatments - If the patient is just prone to nausea, it's best to include medical records showing that - Blood test results - List of over-the-counter medicine, prescribed medicine, and supplements the patient is using - Imaging test results showing locations and sizes of tumors (if the patient has cancer) - Medical necessity - The exact dosage and route ## **Billing requirements for J1626** Besides the documentation requirements above, please note the following billing requirements for this HCPCS code: - They must reflect the dosage given over the course of the treatment