Pediatric Coding Alert

Reader Question:

Use IM Code for Lupron

Question: If a patient brings in Lupron, how should I code the injection?

New Jersey Subscriber

Answer: Children who have early puberty (central precocious puberty) (259.1, Other endocrine disorders; precocious sexual development and puberty, not elsewhere classified) may receive a therapeutic intramuscular (IM) Lupron injection monthly. For administering the injection, you should report 90782 (Therapeutic, prophylactic or diagnostic injection [specify material injected]; subcutaneous or intramuscular).

Code 90782 doesn't include the hormone treatment. If you supply the drug, you should also bill J1950 (Injection, leuprolide acetate [for depot suspension], per 3.75 mg).

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