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EpiPen Injection

  1. #1
    Default EpiPen Injection
    Medical Coding Books
    A patient received the Epipen due to an allergic reaction in our office the other day. We don't typically use HCPCS codes so is there a CPT code that can be used for this? Thanks.

  2. #2
    Overland Park, KS
    I will wager an opinion here.

    For Epipen injections, you would report code 96372 for the injection administration and HCPCS J code J0170 for the medication. The use of the J code will be payer specific. Some payers want code J0170 and some payers prefer code J3490 (Unclassified drugs) instead.

    I would recommend that you consult with the payer in question here for further guidance.

    Hope this helps and again this is my opinion.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  3. #3
    Ft. Worth, Texas
    If the DOS is after 1/1/11 the code should be J0171. Code J0170 was deleted on 12/31/10.


  4. #4
    Overland Park, KS

    You are correct. J0171 would be the correct HCPCS J code, but again it will be payer specific as to whether or not you report J0171 or J3490.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

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