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Thread: 1 gram of J0696

  1. #1

    Default 1 gram of J0696

    AAPC: Back to School
    A patient came into the clinic and the NP gave an injection of Rocephin. The NP only injected 1 gram of the drug, but the description in the HCPCS book says "per 250 mg."

    My question is...how do we report this? Would we use modifer 52?

    All thoughts and opinions welcome.

    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  2. #2
    Join Date
    Apr 2007
    Daytona Beach, FL


    The 52 modifier would not apply here as this is not a reduced service. 1 gram is 4x 250mg - you would bill J0696 x 4 units.

    Hope this helps!
    Jodi Dibble, CPC

  3. #3


    Thanks so much!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  4. Default Rocephin with lidocaine vs with sterile water

    What code would we use if Rocephin is mixed with lidocaine, or sterile water? Is there a difference?


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