Advanced Search

Practice Management Alert

Reader Question:

Generic vs. Brand Name Won't Change Your J3301 Billing

Published on Mon Feb 20, 2012

Question: My doctor is using Kenalog 40 (NDC 0003029328) from Bristol Meyers Squibb. He says HCPCS 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 J3300 (Injection, triamcinolone acetonide, preservative free, 1 mg) or J3301 (Injection, triamcinolone acetonide, not otherwise specified, 10 mg) for the Kenalog itself. Pointer: Pay careful attention to the code descriptors when reporting units. For J3300, you should report 1 unit per 1 mg. In contrast, you should report 1 unit per 10 mg for J3301. These are the codes you should use, regardless of the company you get the Kenalog from. 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 [...]
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 Revenue Cycle Insider
  • 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

Other Articles in this issue of

Practice Management Alert

View All