Wiki J Code for Depo-Estradiol 40mg/mL

[jorellana42]

I'm having a hard time looking this one up. The code the providers have been using is J1000, but that's for "Injection, depo-estradiol cypionate, up to 5 mg". Is there a different J code for this?

 

[nspell]

You could do code J1050 and use 40 as your units. Also I've found the best way is to look at the actual vial/syringe and it will list an NDC #, than look it up by cross referencing the NDC.

 

[jorellana42]

Thanks for your input. The NDC never appeared on the electronic claim. I'm trying to determine the correct NDC, and also make sure we used the correct code and # of units.