Wiki J1010 Depo-Medrol BILATERAL injections - MUE denial

On October 1, 2024 CMS assigned an MUE of 120 to CPT code J1010. Previous to this date, J1010 had no MUE assignment. Our physicians do 80 mg injections in a large joint and frequently do bilateral injections. So with the MUE assignment of 120 mg (and an MAI of 3 - date of service edit), we are receiving denials for the J1010 on all of our bilateral injection claims with a total of 160 mg injected. Any suggestions?

Tell your docs to consider a switch to Kenalog (J3301). The results are arguably better with Kenalog and they are nearly identical to methylprednisolone in terms of particle size, solubility, and half-life.
MUE is 16 units (160mg), which would cover 2cc per knee of Kenalog-40, which is fairly standard across the country.
N.