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.
Read the first 7 HCPCS Coding for Injectables flashcards as text
A patient receives adalimumab 40 mg via subcutaneous injection. Which HCPCS code is reported?
Answer: J0135
J0135 is the HCPCS code for adalimumab injection, 20 mg, so 40 mg = 2 units of J0135.
When billing HCPCS injectable codes, what does the term 'per dose' mean on the code descriptor?
Answer: The entire amount given in one administration encounter
Per dose means the entire amount administered in one encounter, typically a fixed single-use amount defined in the descriptor.
Which HCPCS code covers infliximab injection, 10 mg?
Answer: J1745
J1745 is the HCPCS code for infliximab (Remicade), 10 mg per unit.
Modifier JZ was introduced to indicate:
Answer: Zero waste was discarded from a single-dose vial
Modifier JZ certifies that no drug was wasted and no amount was discarded from a single-dose vial.
A patient receives rituximab 500 mg IV. HCPCS J9312 is billed per 100 mg. How many units are reported?
Answer: 5 units
500 mg divided by 100 mg per unit equals exactly 5 units of J9312.
Which of the following correctly describes the use of HCPCS Q-codes for injectables?
Answer: Q-codes are temporary codes that may be replaced by J-codes when made permanent
HCPCS Q-codes are temporary codes assigned until CMS permanently classifies them, often as J-codes.
For Medicare billing of provider-administered injectables, which insurance benefit part covers the cost?
Answer: Medicare Part B
Medicare Part B covers provider-administered injectables (including physician office and outpatient settings).