AAPC - Back to school
Results 1 to 4 of 4

Thread: What to use instead of J0530-J0550??!!

  1. #1

    Question What to use instead of J0530-J0550??!!

    AAPC: Back to School
    since the Bicillin CR medicine injection codes are no longer valid- what are we supposed to be using now?? Please link me to information on where I can find something on this besides the HCPCS book.

  2. #2
    Join Date
    Apr 2007

    Smile What to use instead of J0530-J0550??!!

    Use Code J0559 ( Injection, penicillin G benzathine and penicillin G procaine, 2500 units) . Use this code for Bicillin CR, Bicillin C-R 900/300, Bicillin C-R Tubex. This information is available in HCPCS 2010 manual.

    Hope this helps.

    Nidhi M., CPC

  3. #3
    Join Date
    Apr 2007
    Canton, Ohio

    Default New codes for bicillin

    Does anyone know how to choose the number of units since the new code (J0559) is for only 2500 units and this medication's usual dosage is 1,250,000. Would you bill 500 units? Am I not understanding

  4. #4
    Join Date
    Apr 2007
    Burlington, VT

    Default CMS's explanation

    Found the explanation below at http://www.cms.gov/prit/pritia/itemd...mid=CMS1233104

    "February 12: The HCPCS Level II code set are maintained by CMS. The HCPCS code set included three codes (J0530, J0540 and J0550) all for the same drug (Pen G Benzathine and Pen G Procaine). The codes were differentiated only by the dose amount. All three codes were discontinued effective 12/31/2009 and replaced with a single, new code J0559 (effective 1/1/2010) which identifies the same drug and specifies a dose of 2500 units. This is consistent with CMS' policy to use a dose amount in drug codes that represents the "lowest common denominator" as a unit that can be reported in multiples in the "units" column on a claim form - to report the actual amount administered. It is not unusual for the number of units reported to be in the hundreds. As long as the math is correct, it's not a problem."
    Jan Blanchard, CPC, CPEDC
    Pediatric Solutions Consultant
    Control Your Future.


Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.