Wiki Deletion of code S0020 Injection, bupivacaine hydrochloride, 30 ml

[mitzekelley]

Hello-Code S0020 Injection, bupivacaine hydrochloride, 30 ml was deleted on 6/30/2023. Is anyone aware of the new code to replace S0020?

 

[owagner]

J0665 seems to be the replacement as far as I can tell.

J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg

 

[mitzekelley]

Thank you!

 

[jeWayman]

Does this apply if we use a bupivicaine strength of .25% or .75% or is it only correctly used if the .5% strength is used?

 

[owagner]

It's by amount of the drug, not amount of solution. One unit is .5mg. The strength will dictate the units per volume used.

 

[vicki.campbell@awomansview.com]

If we use 20 ml of bupivicaine, does anyone know how that translates to the new code which is .5mg?

 

[Kendra021]

I have tried to look at and review all of the guidelines and a fee schedule was assigned to J0665 by CMS on 07/01/23. However, now that we are billing for it, I am getting denials for "N19 : Procedure code incidental to primary procedure". Could I be misinterpreting the guidelines or is anyone else having the same issue?

 

[kwatson0]

If we use 20 ml of bupivicaine, does anyone know how that translates to the new code which is .5mg?

Common Scenarios: ML to MG Conversions in Health​

Liquid Medications: DID you get your answer?​

• In the case of liquid medications, the concentration of the active ingredient is often expressed in milligrams per milliliter (MG/ML). To determine the appropriate dosage in milligrams, one must multiply the volume in milliliters by the concentration.
  For example, if a liquid medication has a concentration of 5 MG/ML and the prescribed dose is 10 ML, the total dosage would be 50 MG (5 MG/ML x 10 ML).