How do I bill my J9217?
Bill 1 unit for the 7.5 mg once a month dose; Bill 3 units for the 22.5 mg once every three (3) months dose; Bill 4 units for the 30 mg once every four (4) months dose and Bill 6 units for the 60 mg once every six (6) months dose. Administration code 96402 should be billed for J9217.
Is J9217 covered by Medicare?
CPT Code J9218 is not covered under Medicare because it is self-administered….Group 1.
| Code | Description |
|---|---|
| J3316 | INJECTION, TRIPTORELIN, EXTENDED-RELEASE, 3.75 MG |
| J9202 | GOSERELIN ACETATE IMPLANT, PER 3.6 MG |
| J9217 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG |
| J9218 | LEUPROLIDE ACETATE, PER 1 MG |
What is procedure code J9217?
J9217 is a valid 2021 HCPCS code for Leuprolide acetate (for depot suspension), 7.5 mg or just “Leuprolide acetate suspnsion” for short, used in Medical care.
What is the J code for Lupron 45 mg?
Policy Number: PH-0080
| Drug Name | Strength | HCPCS* |
|---|---|---|
| Lupron Depot 4-Month | 30 mg | J9217 |
| Lupron Depot 6-Month | 45 mg | J9217 |
| Lupron Depot-Ped | 7.5 mg | J1950 |
| Lupron Depot-Ped | 11.25 mg | J1950 |
What drug is J9217?
J9217 Leuprolide Acetate – CanMED: HCPCS.
What is the difference between J9217 and j9218?
j9217 is depot suspension which is slower acting and j9218 is not depot which is faster acting, they aren’t the same thing.
What does CPT code 96372 mean?
Therapeutic, prophylactic
The CPT code 96372 should be used–Therapeutic, prophylactic, or diagnostic injection. However, you can bill for the injection and an E/M code at the same visit if there was an additional E/M service provided in addition to the injection.
What is CPT code J0897?
J0897 is a valid 2021 HCPCS code for Injection, denosumab, 1 mg or just “Denosumab injection” for short, used in Medical care.
What is code J0881?
HCPCS code J0881 for Injection, darbepoetin alfa, 1 microgram (non-ESRD use) as maintained by CMS falls under Drugs, Administered by Injection .
What is CPT code J9312?
HCPCS Code J9312 J9312 is a valid 2021 HCPCS code for Injection, rituximab, 10 mg or just “Inj., rituximab, 10 mg” for short, used in Medical care.
What is the HCPCS code for chemotherapy drug j9217?
Drugs administered other than oral method, chemotherapy drugs J9217 is a valid 2021 HCPCS code for Leuprolide acetate (for depot suspension), 7.5 mg or just “ Leuprolide acetate suspnsion ” for short, used in Medical care.
Is the HCPCS code for j9218 non-covered?
The medical record does not verify that the service described by the HCPCS code was provided. J9218 (leuprolide acetate [Lupron®], per 1 mg) is non-covered since this formulation is usually self administered.
What are the CPT codes for inj-039?
For the 22.5, 30 or 45 mg doses of leuprolide, bill J9217 three, four or six units respectively. CPT codes 11981-11983 and 96402 may be used for clinical reasons other than administration of GnRH and are not assigned to any diagnosis included in INJ-039.
How to bill for a microcurie in CMS-1500?
In the Quantity Billed column (one unit is one microcurie), enter the number of units representing the dose administered in microcuries. Providers must enter the name of the radiopharmaceutical along with the invoice price in Item 19 of the CMS-1500 Claim Form or the electronic equivalent.