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Wiki EpiPen Injection

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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.
 
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.
 
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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