Forum - Questions & Answers

Oct 29th, 2014 - donnaulmer 2 

Depo Provera Injection

I really need some help, I am billing for a Depo Injection CPT® code J1050 150 mg, 1ML and am only getting reimburse .32 cents when we are paying $72.88 per injection. Can anyone help me please, I feel that I am doing something wrong but do not know what. Any help will be greatly appreciated

Oct 29th, 2014 - youngblood 278 

re: Depo Provera Injection

The base for that HCPCS code is (per) 1 mg, so you should be billing 150 units. At the rate you quoted, the latter still won't cover your cost. I hope the additional reimbursement for administration does.



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