Results 1 to 7 of 7

Histafed Injection

  1. #1
    Default Histafed Injection
    Medical Coding Books
    Histafed aka Bromphneramine injection is being denied with HCPCS code J0945. Insurance states this is OTC rx and physicians should not bill....they state there is a more
    appropriate code available for Histafed. Per HCPCS, J0945 is correct. Any ideas on how to get the injection paid/approved?

  2. #2
    Columbia, MO
    The information I have is that this is classified as a self administered drug. This is designated in the HCPC book as such. Perhaps this is why the denial. What dx code are you giving it with and what is the circumstance for the office to be the once administering the injection.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default Histafed inj
    Patient presents with sinus infection,etc and it is decided to give them the injection of histafed. Dx falls under sinusitus.

  4. #4
    Columbia, MO
    Ah I looked futher, this is not an injectable it is an oral medicine it is not administered as an injection at all. This is why it is denied as OTC.. Are you certain it was an injection the physician gave? or does he just state that the drug was given.
    Active Ingredient: brompheniramine maleate
    Dose Form Descriptions: liquid; powder; solution; tablet
    Route Descriptions: compounding, oral
    Brompheniramine Maleate Strength Descriptions: 10 mg/mL; 2 mg/5 mL; 4 mg

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default Histafed
    Brompheniramine maleate code j0945 per hcpcs is a injection and is approved by medicare as not only self administered for long-term use patients but acceptable for physician/nurse to administer for acute care patients who would not nomally give themselves an injection.

    It is given subcutaneously.

  6. #6
    Columbia, MO
    You may have to appeal then the only information I could get to come up all pointed to oral suspension for this drug. Did you also bill an admin code to show injection? also the Medicare listing I have that has this drug listed shows a 0.00 dollar allowable. Very confusing.

    Debra A. Mitchell, MSPH, CPC-H

  7. #7
    Columbia, MO
    here's a thought what about your NDC number? That should show it as an injectable and not oral. Have you checked that.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. SI injection with Lumbar TF injection
    By jenbet25 in forum Anesthesia
    Replies: 3
    Last Post: 12-29-2017, 08:34 AM
  2. Injection CPT for injection into the Radial Tunnel
    By in forum Orthopaedics
    Replies: 0
    Last Post: 01-15-2013, 08:27 AM
  3. Injection code 96372 or 90471 or neither for injection of Ceftriaxone
    By marci_ann in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-04-2010, 08:12 AM
  4. "test" injection prior to allergy injection
    By ncomer in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 08-23-2010, 05:58 PM
  5. Thrombin injection under ultrasound and follow up injection
    By Jessheartz in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-15-2009, 11:25 AM

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.