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1 gram of J0696

  1. #1
    Overland Park, KS
    Default 1 gram of J0696
    Medical Coding Books
    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 do we report this? Would we use modifer 52?

    All thoughts and opinions welcome.

    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  2. #2
    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
    Overland Park, KS
    Thanks so much!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  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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