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HCPCS Coding for Injectables Flashcards

7 cards from real CPCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient receives 50 mg of diphenhydramine HCl injection. The HCPCS code J1200 covers up to 50 mg. How many units are billed?

    Answer: 1 unit

    Since exactly 50 mg was administered and J1200 covers up to 50 mg, 1 unit is reported.

  2. Which HCPCS code is assigned for ondansetron HCl injection, up to 1 mg?

    Answer: J2405

    J2405 is the HCPCS code for ondansetron HCl injection, up to 1 mg.

  3. When a compounded injectable drug has no specific HCPCS code, which code is most appropriate?

    Answer: J3590

    J3590 (Unclassified biologics) is used for compounded injectables without a specific HCPCS code; J3490 covers unclassified drugs.

  4. A physician administers 10 mg of ketorolac tromethamine injection. The HCPCS code J1885 is per 15 mg. How should this be billed?

    Answer: Bill 1 unit rounding up

    Partial units are rounded up to the next whole billable unit, so 10 mg of a 15 mg/unit drug bills as 1 unit.

  5. Which of the following injectable drugs is reported using HCPCS code J0696?

    Answer: Ceftriaxone sodium

    J0696 is the HCPCS code for ceftriaxone sodium injection, 250 mg.

  6. For chemotherapy injectable drugs without a specific HCPCS J-code, which code category is typically used?

    Answer: J9999

    J9999 is the unclassified antineoplastic drug code used when a specific HCPCS code does not exist for a chemotherapy agent.

  7. Which HCPCS code is used for immune globulin (IgIM), human, injection, 500 mg?

    Answer: J1460

    J1460 is the HCPCS code for immune globulin (IgIM), human, per 500 mg.