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The large NAD+ base acts as the foundation, while the 10mg each of MOTS-c and 5-Amino-1MQ make this primarily a concentrated MOTS-c / 5-Amino-1MQ pairing

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## **Documentation requirements for J9299** 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, including the drug coding information - Patient records showing they have been diagnosed with a cancer eligible for this treatment to support medical necessity - Blood test results - Imaging test results showing locations and sizes of tumors - The exact dosage (1 mg = 1 unit) ## **Billing requirements for J9299** 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

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