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22 kwi 2024 · Also, the National Drug Code (NDC) number will need to be reported on the claim to alert the insurance carrier as to which strength/concentration was used (J1020, J1030, J1040). HCPCS code J9250 (Methotrexate sodium, 5 mg) has been deleted.
9 kwi 2024 · Both codes are now converting to the one J1010 but J1030 and J1040 had different NDC codes so this is very confusing to me as well. In addition, is this going to affect billing wastage. In a Medicare previous example when the JZ modifier was introduced, it indicated that J1030 would not have wastage because they are intended for a one time use ...
1 kwi 2024 · You will bill the J1010 for all Depo-Medrol injections, it is replacing the J1020, J1030, & J1040. The NDC# on the claim will alert the insurance carrier as to which strength/concentration was used (J1020, J1030, J1040).
15 lis 2024 · List of NDC codes used with HCPCS code J1030. Special coverage instructions apply. NDC HCPCS Crosswalk for easy coding.
Report HCPCS code J1030 with a unit of one (1). Submit the NDC code in the red shaded portion of the detail line (Item 24) in position 01 through position 13 or the electronic equivalent. The NDC is to be preceded with the qualifier N4 and followed immediately by the 11-digit NDC code. There are six characters available for quantity.
The HCPCS code and units should report the amount of the actual drug that is administered. Since J1030 has a description '40 mg', then one unit of J1030 would equate to 40 mg.
Q: Do I have to bill the NDC information in addition to HCPCS, CPT or Revenue codes? A: Yes, the NDC information must be submitted in addition to the applicable HCPCS, CPT or Revenue code(s) and the number of HCPCS, CPT or Revenue code units.
