Depo Provera Code

We have been notified by Humana that using/accepting J1050 or J1055 for Depo Provera is "at the carrier discretion". Has anyone had any experience with this and how we will know which code they want without having to receive denials?
Thanks for any help.
Cindy

re: Depo Provera Code

HCPCS Changes for 2013
CPT
The Current Procedural Terminology, Fourth Edition, (CPT-4) code set for 2013 includes a few updates of interest to ob-gyns. Extensive new instructions and guidelines have been added to the CPT® manual to help clarify coding in a variety of situations. This new guidance is in addition to new, revised and deleted CPT® codes for 2013. These changes take effect January 1, 2013. HIPAA requires insurers to accept new codes beginning on January 1st. The American Medical Association CPT® Editorial Panel approved these changes for 2013.
Changes in Depo Provera Coding
HCPCS codes J1051 (Injection, medroxyprogesterone acetate, 50 mg), J1055 (Injection, medroxyprogesterone acetate for contraceptive use, 150 mg) and J1056 (Injection, medroxyprogesterone acetate/estradiol cypionate, 5 mg/25 mg) have been discontinued as of December 31, 2012.

Effective January 1, 2013, injection administration of medroxyprogesterone acetate (Depo-Provera) should be reported using HCPCS code J1050 (Injection, medroxyprogesterone acetate, 1 mg). Due to the change in dosage from the discontinued codes, when reporting code J1050, the appropriate dosage (measured in units) should be reported based on the specific needs of the patient.

Report the injection administration in addition to CPT® code 96372 (Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular). However, per CPT®, it is not appropriate to report injection administration code 96372 without direct physician or other qualified health care professional supervision, unless administered in a hospital setting. In that case, report instead, code 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional), if applicable.

http://www.acog.org/About_ACOG/ACOG_Departments/Health_Economics_and_Coding/HCPCS_Changes_for_2013

I would call your carrier to find out how they want you to report this.

re: Depo Provera Code

Thanks for the help. I'll try to get it out of them.