Results 1 to 4 of 4

Multidose Vial Billing

  1. #1
    Question Multidose Vial Billing
    Medical Coding Books
    I have recently taken on a rheumatologist to do billing for. He does many bursa injections so I am using 20600, 20605 and 20610. He injects Depomedrol 80 mg and Xylocaine. I would like to be able to get him reimbursed for the Depomedrol J1040 but he uses a multidose vial. He states it is a 15 cc vial but he may only use 1/4 1/3 1/5 of the vial on one pt. How do I properly bill quantity used and billed amount to the insurances?

  2. #2
    Default Depo Medrol
    For Depo Medrol Injections I code the medication for the total amount injected per mg. For instance if 80 mg depo medrol was injected in major joint 20610 and j1040.

  3. #3
    Thank you for your response but I'm still confused as to the quantity to bill. If the Dr gives say 2 cc or 3 cc of Depo 80 mg, what do I put in as the quantity billed. Some reading I have done states you bill quantity (1) if you use the whole vial? Since he is using multidose, I'm not sure what to bill as my quantity. Are there any instructions out there regarding injectable billing? Thank you for any assistance you can offer!

  4. #4
    Default Depo Medrol
    HCPCS codes identify a specific dosage or definition of the billing unit. Any dosage up to and including the amount specified represents one billing unit. If the dosage is greater than the dosage listed, increase the number of units accordingly by whole numbers. Example: J0120 Injection, Tetracycline, up to 250 mg. One unit represents an injection of 250 mg or less; more than 250 mg up to 500 mg equals 2 units, etc.


Similar Threads

  1. Multi Dose Vial meds
    By stogsmom3 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-08-2014, 08:20 AM
  2. Billing units for single vial given over multiple DOS
    By alannae in forum Hematology/Oncology
    Replies: 2
    Last Post: 01-10-2013, 07:34 AM
  3. Multi use vial*****HELP
    By terridiaz in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-16-2012, 02:09 PM
  4. 95165 vial prep
    By mburke81 in forum Medicare Regulations
    Replies: 0
    Last Post: 11-14-2011, 07:28 PM

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.