Coding and Billing and Appeals Information
To speak with a dedicated access specialist, call 1‑888‑402‑0627. We are available Monday–Friday, 8:30 am–8:00 pm ET.
Coding and Billing Information
PADCEV Support Solutions can provide information about coding and billing requirements under different types of payers and plans.
For more information about coding and billing for PADCEV® (enfortumab vedotin-ejfv), download the following:
- PADCEV Coding and Billing Guide
(PDF - 5.12 MB) - Sample CMS-1450 (UB-04) Claim Form
(PDF - 120 KB) - Sample CMS-1500 Claim Form
(PDF - 468 KB)
Appeals Information
PADCEV Support Solutions may be able to help you understand the information needed for an appeal submission.
PADCEV Support Solutions is a component of Astellas Pharma Support SolutionsSM.
IMPORTANT INFORMATION: The coding, coverage, and payment information contained herein is gathered from various resources, general in nature, and subject to change without notice. Third-party payment for medical products and services is affected by numerous factors. It is always the provider's responsibility to determine the appropriate healthcare setting and to submit true and correct claims conforming to the requirements of the relevant payer for those products and services rendered. Pharmacies (or any other provider submitting a claim) should contact third-party payers for specific information on their coding, coverage, and payment policies. Information and materials provided by PADCEV Support Solutions are to assist providers and pharmacies, but the responsibility to determine coverage, reimbursement, and appropriate coding for a particular patient and/or procedure remains at all times with the provider and pharmacy, and information provided by PADCEV Support Solutions, Astellas, or Seagen should in no way be considered a guarantee of coverage or reimbursement for any product or service.
PADCEV® and the PADCEV device are trademarks jointly owned by Agensys, Inc., and Seagen Inc.