What is the CPT code for Depo-Provera Injection?

Question: What are the CPT and ICD-9 codes for billing Depo-Provera injections for birth control? Answer: According to coding expert Emily Hill, report 90772 (therapeutic, prophylactic, or diagnostic injection – specify substance or drug; subcutaneous or intramuscular) for the administration of the medication.

What is the HCPCS code for Depo-Provera 150 mg?

When billing for injectable drugs use a HCPCS code to represent the drug. For example, Depo-Provera (150 mg, for contraceptive use) would be billed using the following codes. J1055: Injection; medroxprogesterone acetate, 150 mg.

What is the CPT code for medroxyprogesterone?

J1050 Injection, medroxyprogesterone acetate, 1 mg is used to bill for the Depo- Provera drug administered.

How do I bill J1050 to Medicaid?

The new code is J1050, medroxyprogesterone acetate, 1 mg. To use it, you must indicate the dosage as a quantity. For example, if you injected 150 mg, you would use code J1050 x 150 on the claim. The diagnosis code will indicate the reason for the injection?that is, medical treatment or contraception.

What is the CPT code for Depo Medrol injection?

Answer: The CPT codes to report for the procedures is 20611 (Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting). Don’t forget to report CPT code J1030 for the 40mg of Depo-Medrol.

What is the CPT code for injection?

CPT® code 96372: Injection of drug or substance under skin or into muscle.

What is procedure code J7307?

J7307 Etonogestrel (contraceptive) implant system, including implant and supplies.

Is J1050 covered by Medicaid?

Procedure code J1050 will require the use of a modifier in order for Medicaid to identify when the injection is for contraceptive use versus non-contraceptive use. Reimbursement Amount: The reimbursement rate for J1050 is $0.20 per unit (1mg).

Can you bill 96372 with J1050?

In these cases, the provider should NOT bill J1050 on the claim since they were not supplying the medication. However, CPT 96372 with the appropriate diagnosis and modifiers may be billed for the administration services.

How do I bill my Depo Medrol injection?

Report J1030 (1 unit) for the Depo Medrol. The lidocaine is considered bundled and would not be billed separately. However, if both knees were injected, then bill 20610 with 2 units (one per knee).

What is the CPT code for corticosteroid injection?

Only the injection code (20610) and the J code for the cortisone should be billed to Medicare.