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J2510 AND NUMBER OF QUANTITIES

Patricia Posted Mon 12th of October, 2015 13:37:17 PM

PLEASE LET ME KNOW THE MAX QUANTITY OF THIS DRUG THAT MAY BE BILLED AND WHERE I CAN FIND THIS INFO FOR THE MEDS. OUR OFFICE IS AT A ROAD BLOCK ON AGREEING IN QUANTITY. THEY ARE STATING THAT THE CODE MAY BE GIVEN AS J2510 X 6? I DISAGREE BUT DO NOT REMEMBER, I WANT TO SAY 4, BUT DO NOT WANT TO GIVE THE WRONG INFORMATION. PLEASE HELP.

THANKS,

SuperCoder Answered Tue 13th of October, 2015 09:00:37 AM

According to NCCI edits, the Medically Unlikely Edit is 4, so you can bill up to 4 units per day. For more details you can refer to cms.gov

Patricia Posted Tue 13th of October, 2015 12:07:26 PM

THANKS,

PLEASE LET ME KNOW WHAT CODE I WOULD USE FOR 600,000 MG?

SuperCoder Answered Wed 14th of October, 2015 01:25:28 AM

We can bill Penicillin G Procaine (J2510) in units only not in MG.
1 ml of Penicillin G Procaine (J2510) contains 6,00,000 units.

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