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Thread: Depo Medrol Injections

  1. #1

    Default Depo Medrol Injections

    If we only use 40mg dose vials of Depo Medrol, but they mark x 2, would you change the code and use J1040 instead of J1030? My physician is under the impression that this is how it would be billed. Also I think our clinical staff is confused on knowing how many units to mark with the injections. Any insight on this would be helpful. Thanks.

  2. #2
    Join Date
    Apr 2007
    Location
    Baton Rouge
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    1,080

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    Quote Originally Posted by mistyq View Post
    If we only use 40mg dose vials of Depo Medrol, but they mark x 2, would you change the code and use J1040 instead of J1030? My physician is under the impression that this is how it would be billed. Also I think our clinical staff is confused on knowing how many units to mark with the injections. Any insight on this would be helpful. Thanks.
    I've never used this code, but just from looking at the description in the HCPCS book, J1040 would be correct. May want to google it and see what other info you can find on it.
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  3. #3
    Join Date
    Apr 2007
    Location
    Tacoma, WA
    Posts
    1,086

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    Quote Originally Posted by mhstrauss View Post
    I've never used this code, but just from looking at the description in the HCPCS book, J1040 would be correct. May want to google it and see what other info you can find on it.
    Check the NDC number on the packaging for the Depo Medrol they are using. That number matches up to the doseage...if the number cooresponds to a 40mg dose then use J1030 code with 2 units. If the NDC is the same regardless of the dosage then you could use J1040 with 1 unit. You do need to be sure that the NDC matches up to what you are actually billing out.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

  4. #4

    Default

    Quote Originally Posted by mistyq View Post
    If we only use 40mg dose vials of Depo Medrol, but they mark x 2, would you change the code and use J1040 instead of J1030? My physician is under the impression that this is how it would be billed. Also I think our clinical staff is confused on knowing how many units to mark with the injections. Any insight on this would be helpful. Thanks.
    J1040 also looks correct to me since they have doubled the amount of the dosage
    Txs
    SAUKA

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