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Hcpcs code j1050 for injection, medroxyprogesterone acetate, 1 mg as maintained by cms falls under drugs, administered by injection Is anyone else having this problem? Payment, when received, can be below the cost of supplies
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I hope it helps you out Prior to 08/01/16 all our claims paid with no issues Changes in depo provera coding for 2013 hcpcs codes j1051 (injection, medroxyprogesterone acetate, 50 mg), j1055 (injection, medroxyprogesterone acetate for contraceptive use, 150 mg) and j1056 (injection, medroxyprogesterone acetate/estradiol cypionate, 5 mg/25 mg) have been discontinued as of december 31, 2012.
In this case, you would report j1051 (injection, medroxyprogesterone acetate, 50 mg) in addition to the injection code
You should indicate the total dosage by adjusting the quantity box on the claim form Ndc depo medroxyprogesterone acetate as of july 6, 2015 yes, you code 150mg/ml vial It only comes in 1 ml vials per fda website So you would code as j1050 (changed as of 2012 from j1051) x 1 unit (150mg per unit)
I will post links to mcare/caid website and the article that covers this change as well as the fda page showing the ndc is for 1 ml. Subcutaneous or intramuscular) for the injection. Hello, we are getting denials for the depo provera We have billed as j1050x150 units and the 96372 for admin diagnosis z30.42
All seems correct but billing still saying it is being denied
These are not medicare pt's Any ideas, do we need to add a modifier They are not saying anything about.
