suki_26
Networker
This seems like a very easy question but after over thinking this now we are not so sure.
J1020 = 20mg
J1030 = 40mg
the question is what about billing for 60mg?
It seemed simple, bill a J1020 and then a J1030 with just 1 admin code. after some research we realized medically those are different strengths and has nothing to do with quantity. Soo since in the coding book there are only options for 20, 40 or 80 and there is no way to bill 1.5 units........? Should we just be billing the code for the 40 and absorbing the cost for the rest?
It seems the book should specify 1ml of 20mg....1ml of 40mg..... etc. ( In this particular case we have doctors giving 1.5ml of 40mg)
many of the other codes for injections in the book will specify x "up to" y. This code does not.
Any help would be greatly appreciated.
J1020 = 20mg
J1030 = 40mg
the question is what about billing for 60mg?
It seemed simple, bill a J1020 and then a J1030 with just 1 admin code. after some research we realized medically those are different strengths and has nothing to do with quantity. Soo since in the coding book there are only options for 20, 40 or 80 and there is no way to bill 1.5 units........? Should we just be billing the code for the 40 and absorbing the cost for the rest?
It seems the book should specify 1ml of 20mg....1ml of 40mg..... etc. ( In this particular case we have doctors giving 1.5ml of 40mg)
many of the other codes for injections in the book will specify x "up to" y. This code does not.
Any help would be greatly appreciated.