You Be the Coder:
Lupron Injections
Published on Fri Jun 01, 2001
Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.
Question: We give 7.5 mg a month for four months to a patient with prostate cancer. What HCPCS code do I use for the Lupron injection?
Louisiana Subscriber
Answer: The two codes for Lupron are J9217 (leuprolide acetate [for depot suspension], 7.5 mg) and J1950 (injection, leuprolide acetate [for depot suspension], per 3.75 mg), according to Kathy Pride, CPC, CCS-P, coding supervisor at Martin Memorial Medical Group in Stuart, Fla. Bill code J9217 once a month for chemotherapy treatment. It can be used for patients with prostate cancer. Code J1950 is for an injection of Lupron for therapeutic use. Lupron is also used for treatment of other conditions, such as endometriosis management.
Coders should also report the administration of chemotherapy drugs depending on whether they were given intramuscularly (96400) or through I.V. infusion (96410, for one hour or 96412, for each additional hour). |
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