Hi Sharon -First, is it a single or multi-dose vial? Since J2274 is morphine, preservative-free for epidural or intrathecal use, 10mg, I'm going to go with single-dose vial. If your vial is NOT this description, please post the particulars so we can get it right.
So J2274 is billed per 10 mg, and there are 50mg in your vial. Maximum coming out of that vial is 5 units. Let's say you use 4 units, or 40 mg, and let's say you decide to bill $50 per unit of 10mg.
4 units.... J2274... $50 each..... $200.00
1 unit..... J2274-JW....$50......... $50.00
Make sure you check the NDC code on the vial every time you fill.
My MAC only used the modifier KD for external devices, not implanted pumps, and therefore could only be billed to the DMEPOS. Look for info from your MAC.Hi Sharon -
I have a question on this matter also, my doctor does Morphine pain pumps and he wants to use J2274 when he does this refill. However, in reading the description of the code, this is not the correct code. He is using Morphine Sulfate Pentahydrate USP Powder 100gm along with Sodium Chloride & Sterile Water. And I'm getting a denial from Medicare that J2274 is not billable with the modifier -KD.. Any input on this would be greatly appreciate.
I'm editing to change my answer, because I missed that it was 50ml and not 5ml.Hi Sharon,
I have a question about these too. An example of the what we usually supply is 10 mg/ml of Morphine sulfate for epidural/intrathecal use. We reload the pump chamber with 40 ml of a 50 ml prefilled syringe. In this scenario would we be correct in billing J2274 40 units and J2274-JW 10 units?