Payment for Immunosuppressive Therapy Management

30.6.3 - Payment for Immunosuppressive Therapy Management (Rev. 1, 10-01-03) B3-4820-4824 Physicians bill for management of immunosuppressive therapy using the office or subsequent hospital visit codes that describe the services furnished. If the physician who is managing the immunotherapy is also the transplant surgeon, he or she bills these visits with modifier “-24” indicating that the visit during the global period is not related to the original procedure if the physician also performed the transplant surgery and submits documentation that shows that the visit is for immunosuppressive therapy.