Forum - Questions & Answers

Dec 13th, 2012 - ASIF

Administration for J2930

Hello

Could someone please tell me what administration code should I bill with J2930?
1.96375
2.96365
and please let me know why should we bill 96375 or 96365. All of your help is appriciated in advance.

Thanks

Dec 13th, 2012 - nmaguire   2,606 

re: Administration for J2930

Coverage of methylprednisolone (J2920, J2930) is limited to those situations in which the medication cannot be tolerated or absorbed if taken orally and is self administered by the patient. Claims for parenteral methylprenisolone that do not meet this criterion will be denied as not medically necessary.
How was drug administered (IV or IV Push)? If IV 96365, if IV push, 96374 or 96375. This question cannot be accurately answered without full details of diagnosis codes and any other medications administered at same encounter.

Dec 14th, 2012 -

re: Administration for J2930

Thanks a lot Nancy, you are really a great help for me.

Doctor billed 729.81, 782.3, 380.22 and 782.1 with J2930; in this patient there is no other drug billed from doctor. but i noticed that in some other cases doctor billed J2930 with J1745 and J1200.

One more thing can we bill 96375 without 96374, i mean is 96375 is add on code to 96374? or we can bill 96375 without 96374? I am confused in adminstrations actually.

thanks

Dec 14th, 2012 - nmaguire   2,606 

re: Administration for J2930

Add-on infusion codes:
When administering multiple chemotherapy or intravenous (IV) infusions, injections, or a combination of infusions and injections, only one ‘initial’ administration code should be reported. The ‘initial’ administration code should be the code that best describes the primary reason for the visit. The order that chemotherapy and/or IV infusions/injections is given should not be the main determiner of the ‘initial’ administration code. 96375 describes an additional push after the initial push. The key is 96375 indicates a new drug was pushed following the initial push of first drug. It is not always connected to code 96374. It could be connected to 96365, 96374, 96409, 96413. If an initial IV was administered (ex, 96365), and then a drug was "pushed" sequentially, you would add code 96375. Reason: only one initial drug administration is coded per encounter (unless you have 2 different puncture sites).

Dec 14th, 2012 -

re: Administration for J2930

Thanks again Nancy. I got it. the way you elaborate this to me it is really awesome and it opens the closed window of my brain :D.
God Bless

Dec 14th, 2012 - nmaguire   2,606 

re: Administration for J2930

Great, glad to help



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association