CPCA HCPCS Coding for Injectables 3

Question 1

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

Accepted Answer

1 unit

Answer

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

Question 2

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

Accepted Answer

J2405

Answer

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

Question 3

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

Accepted Answer

J3590

Answer

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

Question 4

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

Accepted Answer

Bill 1 unit rounding up

Answer

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

Question 5

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

Accepted Answer

Ceftriaxone sodium

Answer

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

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