Oncology & Hematology Coding Alert

Reader Question:

J3301 Applies to Brand Name or Generic

Question: My doctor is using Kenalog 40 (NDC 0003029328) from Bristol Meyers Squibb. He says J3301 is not the correct code to bill because that is a generic code. Is there a different code to differentiate generics from non-generic when billing?Arizona Subscriber Answer: For Kenalog injections, you should use J3301 (Injection, triamcinolone acetonide, not otherwise specified, 10 mg) for the Kenalog itself. Pointer: Pay careful attention to the code descriptor when reporting units. For J3301, you should report 1 unit per 10 mg.Helpful: Kenalog is the brand name, and the generic drug name is triamcinolone acetonide. The HCPCS tabular listing is arranged by generic drug name. If you look up triamcinolone acetonide in the index, you'll see it lists J3300 (Injection, triamcinolone acetonide, preservative free, 1 mg) and J3301 as the proper codes. Be aware that J3300 is for the preservative free formulation and matches to different brand names. The [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Oncology & Hematology Coding Alert

View All