Neurology & Pain Management Coding Alert

Reader Questions:

Choose J1020, J1030, J1040 Based on Strength

Question: Depo-Medrol comes in three different strengths, but the code doesn't state how much is considered a dose. How do we convert dosages when reporting Depo-Medrol or other medications? Mississippi Subscriber Answer: Depo-Medrol comes in three strengths: 20 mg/mL, 40 mg/mL, and 80 mg/mL. Packaging is available in 1 mL, 5 mL, and 10 mLvolume vials and can be single dose (without any preservative) or multi-dose (with preservative) vials. HCPCS includes three Depo-Medrol codes to cover the different strengths: J1020 -- Injection, methylprednisolone acetate, 20 mg >J1030 -- Injection, methylprednisolone acetate, 40 mg J1040 -- Injection, methylprednisolone acetate, 80 mg. Conversion: First be aware that there is no difference between 1 mL and 1 cc. They are terms describing the volume of medication injected and are used interchangeably. Consider these examples: 1mL of 40 mg/mL equals 40 mg of the steroid, which leads to billing 1 unit of J1030 0.5cc of [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Neurology & Pain Management Coding Alert

View All