Wiki Hcpcs code j1071

Community Wiki

This is a community-maintained wiki post containing the most important information from this thread. You may edit the Wiki once you have been on AAPC for 30 days and have made 5 posts. Learn More
D
HCPCS code J1071

HCPCS Level II code J1071 Injection, testosterone cypionate, 1mg replaced J1070 and J1080 in 2015. Use J1071 X how many units the patient was given. For example, if the patient received 200 mg, you’d bill J1071 X 200.

mrosbun

New
Local Chapter Officer
Messages
6
Location
Louisville Kentucky
Best answers
0
When reviewing this new code; which replaces HCPCS codes J1070 (up to 100mg) and J1080 (200mg), we realized that the new code j1071 is only 1mg. The 2015 HCPSC book doesn't give any details on how to code for multiple mg. I want to say that we would bill for how many mg used (ex: 50mg given charge for x50), but I don't want to assume without confirmation.

Has anyone ran across this yet?

Ruby
 

Pam Brooks

True Blue
Local Chapter Officer
NAB Member
Messages
2,079
Location
Dover Seacoast New Hampshire
Best answers
0
If your billable unit is 1 mg (as in this case) and you administer 200 mg, then you're going to bill 200 units.

HCPCS doesn't publish specific billing rules regarding units, mostly because the units reported in HCPCS may or may not be the typical administered dosage, or may not be the dosage available in your geographical area. That's why you have to adjust the code based on the administered units.
 
Messages
3
Best answers
0
J1071

We ran across this issue @ our office. I found out thru phone call to cahaba that this new code was not included in the 2015 fee schedule and that until it was on the fee schedule they could not give us any information on the code. We feel like it is an error. I personally do not believe a claim w/ 200 units would be paid. We are holding our claims for this injection until we have more info. Have you found out anything new?
 
Messages
1
Best answers
0
galactallent

Unfortunately, claims we have filed using J1071 since January 01, 2015 have been denied. Rejection states "HCPCS Procedure Code is invalid in Professional Service. Value of element is incorrect" Any help would certainly be appreciated.
 

NDayhoff

New
Messages
1
Best answers
0
frustrated

Code J1080 is not even passing the clearing house as a valid code, so if all of this is true, none of the codes are being accepted.
 

kimber88

New
Messages
5
Best answers
0
CPT code J1070

Has anyone successfully billed with this code yet, I have multiple claims I need to resend before I hit timely filling. J1070 and J1080 have definitely been deleted but I just can't imagine billing 100 units and 200 units for a code and getting paid.
 

ABQ894

New
Messages
2
Location
Burlington, NJ
Best answers
0
# units billed with J1071

Shelley M,

We have been billing (1) unit of J1071 as our billing software pulls the description up as Testosterone Ciponate 200mg/mL. Reimbursement is around $.03, which is ludicrous. May I please ask what you are seeing in terms of a reimbursement range with billing (200) units of J1071?

Also speaking to the J1080 concerns---our software rejects this code even before it gets to the clearing house stating it is no longer a valid code and that J1071 is to be used instead.

HELP!!

Thanks in advance,
Melissa
 

TARRA

New
Messages
5
Best answers
0
testosterone cypionate

I cannot figure out what J code to use for testosterone cypionate and the units to use. Any help would be great!
 
Top