The patient was then awakened and taken to the recovery. Dont code injection separately included in facility em code. Coding books containing hcpcs level ii codes and other resources for those billing for durable medical equipment dme, injections, medicare services, drugs and medical supplies. Triamcinolone injection is used to treat inflammation swelling, allergic reactions, certain types of arthritis, gout, skin diseases, and many other medical problems. Hcpcs j codes typically includes drugs that cannot selfadministered, are reasonable and necessary for the treatment of the injury or illness and considered effective by. Injection, triamcinolone acetonide, preservative free, 1. Proper billing of an ndc requires an 11digit number in a 542 format. Drugs administered other than oral method, chemotherapy drugs. Kenalog40 fda prescribing information, side effects and. Triamcinolone injection route description and brand names. Sep 12, 2018 when necessary, the ph of each formula was adjusted with sodium hydroxide so that the ph of the reconstituted solution is within the usp specified range of 7 to 8 and the tonicities are, for the 40 mg per ml solution, 0. And would you do the interlesional or subq injection code. Depomedrol injection 40 mgml strength, 10 ml, ndc 00009.
Questions regarding coding and billing guidance should be submitted to the insurer in whose jurisdiction a claim would be filed. A small amount of omnipaque solution was injected to confirm intraarticular. Kenalog40 aka triamcinolone acetonide is a human prescription drug product labeled by e. Doses for other corticosteroids commonly used are 40 to 80 mg of methylprednisolone lone acetonide kenalog, and 6 to 12 mg of betamethasone celestone. Report 96372 therapeutic, prophylactic, or diagnostic injection. The drug listing act of 1972 requires registered drug establishments to provide the food and drug administration fda with a current list of all drugs manufactured, prepared, propagated, compounded, or processed by it for commercial distribution. Kenalog 40 mg 1 cc was then injected where the mass was aspirated without difficulty.
Kenalog40 injection triamcinolone acetonide injectable. The products dosage form is injection, suspension and is administered via intra articular. How should i report an intraepidiymal injection of kenalog. This is the 2012 version of hcpcs j3301 please refer to the 2016 hcpcs code set. Cms no longer allows a 90day grace period for using discontinued codes, so get. Nov 17, 2011 then, choose between j3300 injection, triamcinolone acetonide, preservative free, 1 mg or j3301. Calculationg injection with kenalog orthopedic coding ask an. Converting ndcs from a 10digit to 11digit format requires a strategically placed zero, dependent upon the 10digit format. Kenalog 40 mg ml injection triamcinolone acetonide kenalog10 injection is triamcinolone acetonide, a synthetic glucocorticoid corticosteroid with marked antiinflammatory action, in a sterile aqueous suspension suitable for intradermal, intraarticular, and intrabursal injection and for injection into tendon sheaths. Pupil reactions were brisk and equal with 2 mm pupils noted in the recovery room. Hcpcs kenalog40 medical billing and coding forum aapc. Hcpcs is the healthcare common procedure coding system, and contains medicares national level ii codes.
Coding for injectable drugs american academy of ophthalmology. Assign the correct cpt codes for an injection of 40 mg of kenalog for the treatment of dupuytrens contracture in the. Triesence 40 units j3300 injection, triamcinolone acetonide, preservative. The first segment identifies the product labeler i.
J3301 billing medical billing and coding forum aapc. The initial dose of kenalog40 injection may vary from 2. Hcpcs code j3300 for injection, triamcinolone acetonide, preservative free, 1 mg as maintained by cms falls under drugs, administered by injection. Kenalog40 injection triamcinolone acetonide injectable suspension, usp is a synthetic glucocorticoid corticosteroid with. You may like does medicare require a hcpcs for revenue code 278 2020 inr machine medicare hcpcs 2019 dme hcpcs code list 2019.
Under direct fluoroscopic guidance, a 22 gauge spinal needle was advanced into the right hip joint. But when looking at the hcpc book with the code it says use this code for kenalog 40 does this mean that we should be leaving the quantity as 1. Kenalog intraarticular intramuscular injection summary. For quick, accurate, and efficient coding, pick this hcpcs professional reference. This medicine is a corticosteroid cortisonelike medicine or steroid. Aha coding clinic for hcpcs, third quarter 2018, page 6. You need to know the strengthdoseage of the drug and what he means by units j3301 triamcinolone acetonide, kenalog10, kenalog40 per 10 mg bottle. Monitor, pt was given 1cc of kenalog, 2cc of xylocaine on both right and left shoulder and 0. Acetazolamide sodium up to 500 mg im, iv j1120 acetylcysteine, ivection 100 mg iv j02 acetylcysteine, unit dose form per gram inh j7604, j7608. The procedure was done in sterile fashion, with no complications or bleeding. For intraarticular administration or injection into tendon sheaths and bursae, the dose of kenalog injection may vary from 5 mg to 10 mg 0. Buck, 2017 hcpcs level ii, professional edition provides a fullcolor, easytouse guide to the latest healthcare common procedure coding system. Kenalog 40 injection has an extended duration of effect which may be sustained over a period of several weeks.
So depending upon the hcpcs code description for the drug, you may need to know one or the other or both. Billing injections with 5fu and kenalog40 mixture medical billing. Read all of this leaflet carefully before you start using this medicine because it contains important. The initial dose of kenalog 40 injection may vary from 2. Doctors give trusted answers on uses, effects, sideeffects, and cautions.
Hip 40 mg 5 ml knee 40 mg 10 ml ankle, foot 20 mg 5 ml toes 10 mg 1 ml. However, in certain overwhelming, acute, lifethreatening situations, administration in dosages exceeding the usual dosages may be justified and may be in multiples of the oral dosages. This web page contains comprehensive information about ndc code 0003029328. According to the ndc description for ndc 00409476586, there are 200 mg of ciprofloxacin in 20 ml of solution 200 mg20 ml. Triamcinolone aristocort, aristospan, kenalog methylprednisolone acetate depomedrol relative potency. A small amount of omnipaque solution was injected to confirm intraarticular needle position. J102030 methylprednisolone acetate depomedrol j1094.
Use cpt code 20610 or 20611 for drug administration and for kenalog injections, use j3300 injection, triamcinolone acetonide, preservative. Billing with national drug codes ndcs frequently asked. Jcode to national drug code ndc billing crossreference guide j0129 10 mg injection, abatacept, 10 mg hcpc code ndc unit qualifier ndc strength number ndc. Hcpcs level ii 2020 coding books provide all codes and descriptions for durable medical goods dmepos, injections, drugs, supplies, and services. Nov 23, 2015 doses for other corticosteroids commonly used are 40 to 80 mg of methylprednisolone lone acetonide kenalog, and 6 to 12 mg of betamethasone celestone solu span. Actually, the hcpcs text lists j3301 as injection, triamcinolone. The patient tolerated it well, with large relief of symptoms afterward. Calculationg injection with kenalog orthopedic coding. Take the amount to be billed 1200 mg divided by the number of mg in the ndc description 200 mg.
For example, if 2 cc volume of kenalog 40mg cc concentration strength is injected, the provider actually injected a total of 80 mg of kenalog 40 2 and would be reported with 8 units of j3301. A 42 yearold with chronic right trochanteric bursitis is scheduled to receive an injection at the pain clinic. It is given to patients who are not able to take medicines by the mouth. Hcpcs level ii 2020 coding books provide all codes and descriptions for. Triamcinolone acetonide injectable suspension is a singleuse vial of 40 mg. Assign the correct cpt codes for an injection of 40 mg of kenalog for the treatment of dupuytrens contracture in the hospital outpatient setting. Studies indicate that following a single intramuscular dose of 60 mg to 100mg of triamcinolone acetonide, adrenal suppression occurs within 24 to 48 hours and then gradually returns to normal, usually in 30 to 40 days.
When billing a compounded drug, use hcpcs code j3490 and list each drug and its dosage in the descriptor field. Animal studies show adverse fetal harm but no controlled human studies have been done. Ndc code 0003029328 kenalog40 triamcinolone acetonide. Interventional radiology coding cardiology coding zhealth. An approach to injection therapy ohio acp meeting october 17, 2014 columbus, oh. This detailed description can be identified in an hcpcs coding book or in the. You will need a special login to access your reports. The national drug code or ndc is a unique numeric identifier given to medications. It should be noted that many ndcs are displayed on drug packaging in a 10digit format.
A combination of 2 ml kenalog 40 mg ml diluted in 5 ml 1% lidocaine solution was injected. This is the 20 version of hcpcs j3301 please refer to the 2016 hcpcs code set. Triamcinolone is a glucocorticoid used to treat certain skin diseases, allergies, and rheumatic disorders among others. Jun 04, 2018 under direct fluoroscopic guidance, a 22 gauge spinal needle was advanced into the right hip joint. Sodium hydroxide or hydrochloric acid may be present to adjust ph to 5.
An intralesional steroid injection involves a corticosteroid such as triamcinolone acetonide injected directly into a lesion on or immediately below the skin. The complete repository of national drug codes information. Read the user manual for instructions for submitting ndc numbers drugs. J3301 is a valid 2020 hcpcs code for injection, triamcinolone acetonide, not otherwise specified, 10 mg or just triamcinolone acet inj nos for short, used in medical care. Injection supply injected supply billed with hcpcs j codes do not bill for the local anesthetic lidocaine, etc. Each ml of the sterile aqueous suspension provides 40 mg triamcinolone acetonide, with 0. The procedure site was bandaged afterward, and aftercare instructions were given. The drug listing act of 1972 requires registered drug establishments to provide the food and drug administration fda with a current list of all.
For private sector health insurance systems, please contact the individual private insurance entity. In new zealand, triamcinolone injection is marketed as kenacorta and is available in 2 strengths. A j code may cover the supply, injection or infusion of a drug or biological. For medicaid systems, please contact the medicaid agency in the state in which the claim. The patient was then awakened and taken to the recovery room. Cpt code j3301 kenalog40 injection billing guide warnings. The ndc code 0003029328 is assigned to kenalog40 also known as. J codes are a subset of the hcpcs level ii code set used to primarily identify injectable drugs. An approach to injection therapy internal medicine acp. Certification study guides vendor book store instructor resources publisher.
It is also used to prevent worsening of asthma and copd. Triamcinolone injection route description and brand. The national drug code is divided in numeric 3segments. A 22gauge spinal needle is introduced into the trochanteric bursa, and a total.
Updates prior to 2015, refer to version history jt pg. J3301 triamcinolone acetonide, kenalog10, kenalog40 per 10 mg your bottle says kenalog 40 40 mgml if you use 0. Please give the correct hpcs code for thi question, which is from aapc 2011 model question kenalog 40 a j3301 x 4 b j3301 c j3300 x 40 d j3300 we have confusion with option a and b. J3301 injection, triamcinolone acetonide, not otherwise specified, 10 mg. Ndc national drug codes icd 10 codes, cpt codes, hcpcs.
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