EpiPen Injection

medcode12

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A patient received the Epipen due to an allergic reaction in our office the other day. We don't typically use HCPCS codes so is there a CPT code that can be used for this? Thanks.
 

dballard2004

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I will wager an opinion here.

For Epipen injections, you would report code 96372 for the injection administration and HCPCS J code J0170 for the medication. The use of the J code will be payer specific. Some payers want code J0170 and some payers prefer code J3490 (Unclassified drugs) instead.

I would recommend that you consult with the payer in question here for further guidance.

Hope this helps and again this is my opinion.
 

dballard2004

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Cathy,

You are correct. J0171 would be the correct HCPCS J code, but again it will be payer specific as to whether or not you report J0171 or J3490.
 
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