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Pediatric Coding Alert

Reader Question:

Generic vs. Brand Name Won't Change Your J3301 Billing

Question: My doctor is using Kenalog 40 (NDC 0003029328) from Bristol Myers Squibb. He says J3301 is not the correct code to bill because that is a generic code. Is there a different code to differentiate generics from non-generic when billing? Arizona Subscriber Answer: For Kenalog injections, you should use J3300 (Injection, triamcinolone acetonide, preservative free, 1 mg) or J3301 (Injection, triamcinolone acetonide, not otherwise specified, 10 mg) for the Kenalog itself. Pointer: Pay careful attention to the code descriptors when reporting units. For J3300, you should report 1 unit per 1 mg. In contrast, you should report 1 unit per 10 mg for J3301. These are the codes you should use, regardless of the company from whom you get the Kenalog. Kenalog is the brand name, and the generic drug name is triamcinolone acetonide. The HCPCS tabular listing is arranged by generic drug name. If you look up triamcinolone [...]

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