Wiki Multi-dose billing

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daboronda

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How should I code for 40mg/ml out of a 80mg/ml multi-dose vial of Depo Medrol?
I don't feel J1040 is appropriate since I will be billing the remaining 40mg/ml on another patient thus over billing.
However, I also don't feel J1030 is appropriate because the NDC# wouldn't match up.
Unfortunately, HCPCS does not address multi-dose vials.
Thank you,
Donna
 
J1030 is correct if 40 mg was administered. All of the NDCs for multi-dose vials of this drug are valid for both J1030 and J1040 so you shouldn't have a compatibility problem between the code and the NDC.
 
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