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Injection Units - Provider ordered injections of Decadron

  1. #1
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    Default Injection Units - Provider ordered injections of Decadron
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    Provider ordered injections of Decadron 1/2 cc, Bromphed 1 cc, and B12 1/2 cc. Any idea how to code these? Thanks in advance.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #2
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    Any takers here, please? I need an answer ASAP. Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  3. #3
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    Hi Dawson,

    Are you looking for the Jcodes? If so look at these codes:
    Decadron (dexamethasone sodium phosphate) - J1100
    Bromphed (brompheniramine maleate) - J0945
    B12 (cyanocobalamin) - J3420

  4. #4
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    Overland Park, KS
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    Hi Mojo,

    Thanks for the codes, but the description of the codes do not match up to the exact dosage we administered. How do we report this when the dosage is less than what is listed? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  5. #5
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    Hopefully, someone can help you with this. The providers should note the dosage in mg(s) and mcg(s) instead of the volume of the drug. Can you query for clarification?

    Decadron comes in 4mg/ml so 1/2 cc = 2 mg. A unit of J1100 is 1 mg, requiring 2 units.

    It appears that Brompheniramine now is only manufactured as 10 mg/ml; your 1 cc = 1 unit of J0945.

    B12 is 1000 mcg/ml; your 1/2 cc = 500 mcg. J3420 is up to 1000 mcg and would be assigned 1 unit.

    Check my math.

  6. #6
    Location
    Overland Park, KS
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    Thanks so very much! I owe you one!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  7. #7
    Default
    Can someone help me to bill bicillin injection

    Doctor ordered 1.2 million and I code J0561 x2 .But the nurse disagree with me. As per her we are getting 1.2 vial from pharmacy and why i am overbilling to the ins/patient.

    How do you explain to the nurse?

    Thanks for your feedback

  8. #8
    Default J0561
    Quote Originally Posted by kumeena View Post
    Can someone help me to bill bicillin injection

    Doctor ordered 1.2 million and I code J0561 x2 .But the nurse disagree with me. As per her we are getting 1.2 vial from pharmacy and why i am overbilling to the ins/patient.

    How do you explain to the nurse?

    Thanks for your feedback
    Hi,

    Bicillin, J0561, has a descriptor of 100,000 units. If 1.2 million units are administered, divide by 100,000 to arrive at 12 billable units.

    The J0570 code, Bicillin up to 1,200,000 units, was deleted effective 12/31/10.

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