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Help with J0696 (Ceftriaxone)

  1. Default Help with J0696 (Ceftriaxone)
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    Help, please... The nurse marked Ceftrixone on the superbill. I found the CPT code
    (J0696), my question is... is there a specific injection code or administration code for this?

  2. #2
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    This is administered either IV or IM, so you should query the nurse and/or provider as to how it was administered. You will also need the dosage; J0696 is 250 mg, so if, let's say, 500 mg was given, you would use 2 units.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. Default
    It was 250mg administered IM.

  4. #4
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    Then your administration is 96372 and the unit on J0696 is one (1). If was also an E/M, the admin and E/M would be bundled together unless the E/M is a significant, separately identifiable service, in which case you could use modifier 25 on the E/M.

    Hope this helps!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  5. Default
    It does. Thank you so much!

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