Wiki J code deletions and replacements

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bonedocs2

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Monticello, GA
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I know J1010 is the replacement J code for Methylprednisolone acetate injections J1020-J1040) for April 2024. Would the correct way to bill this be with 80 units for an 80mg injection?

J2930 & J2930 were also deleted. Is the correct replacement J2919? The Medicare fee schedule also shows $0 for these codes. Anyone having issues with this??
 
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bonedocs2 said:
I know J1010 is the replacement J code for Methylprednisolone acetate injections J1020-J1040) for April 2024. Would the correct way to bill this be with 80 units for an 80mg injection?

J2930 & J2930 were also deleted. Is the correct replacement J2919? The Medicare fee schedule also shows $0 for these codes. Anyone having issues with this??
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I am having issues with this as well. We give 125mg and the only way to bill it that I see is J2919 with 25 units, but like you said, there is no reimbursement listed.
 
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skerr said:
I am having issues with this as well. We give 125mg and the only way to bill it that I see is J2919 with 25 units, but like you said, there is no reimbursement listed.
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Check you MAC - Florida, First Coast Service Options - fee schedule look up - ASP drugs - enter code- dos and your locality - J2919 is showing
ASP Amount
t.gif
0.273
 
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How do I bill for a 20, 60, AND 80mg injection using J1010? We are using MethylPREDNISolone Acetate Injectable Suspension 400 mg per 5 mL vial. 80 mg per mL. Thanks for any help.
 
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jfagan said:
With the new code for Solumedrol J2919 it is billed per 5 mg. If we give a patient 100 mg nd the vial is up to 125mg how many units are billed? I think it is billed with 20 units and a JZ modifier. Is this correct?
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20units and then 5units/JW, since there would be waste of 25mg.
 
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mistygomezcpc@gmail.com said:
How do I bill for a 20, 60, AND 80mg injection using J1010? We are using MethylPREDNISolone Acetate Injectable Suspension 400 mg per 5 mL vial. 80 mg per mL. Thanks for any help.
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I’m not familiar with this drug but if you go to the cms website and search ndc crosswalk they have a spreadsheet that will tell you how many billable units per vial size/ndc number.
 
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With the new code for Solumedrol J2919 it is billed per 5 mg. If we give a patient 100 mg nd the vial is up to 125mg how many units are billed? I think it is billed with 20 units and a JZ modifier. Is this correct?
 
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