CPCA HCPCS Coding for Injectables 2

Question 1

A patient receives 750 mg of vancomycin IV. The HCPCS code J3370 is billed per 500 mg. How many units should be reported?

Accepted Answer

2 units

Answer

You must round up to the next whole unit, so 750 mg divided by 500 mg/unit requires 2 units to be reported.

Question 2

Which HCPCS Level II code is used for methylprednisolone sodium succinate injections?

Accepted Answer

J2920

Answer

J2920 is the HCPCS code for methylprednisolone sodium succinate, 40 mg per unit.

Question 3

When billing for an injectable drug that has no specific HCPCS code, which code should be used?

Accepted Answer

J3490

Answer

J3490 (Unclassified drugs) is used for injectable drugs that do not have a specific HCPCS code assigned.

Question 4

A patient receives a 1 mg injection of glucagon HCl. Which HCPCS code applies?

Accepted Answer

J1620

Answer

J1620 is the HCPCS code for glucagon HCl per 1 mg.

Question 5

Which modifier is appended to an HCPCS injectable code to indicate the drug was administered in a physician's office?

Accepted Answer

No modifier is required

Answer

No specific modifier is required solely to indicate office-based administration of an injectable drug.

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