Kelly Posted Thu 28th of July, 2011 14:10:20 PM
Need help with coding a Rocephin 1G IV infusion given a 1/2 hour a day for 7 days. I am thinking the code is J0696x4, but what is the administration code for the IV? Is this something that is usually covered in a doctors office setting? I have also heard there is confusion with the NDC codes. Please help!
SuperCoder Answered Thu 28th of July, 2011 19:33:13 PM
If an insurer requests documentation for your 96372 claims, you can expect them to search for one detail — the name of the drug injected. Identify the injectable product in your 96372 documentation. The drug code, such as J1100 (Injection, dexamethasone sodium phosphate, 1 mg) for Decadron or J0696 (Injection, ceftriaxone sodium, per 250 mg) for Rocephin, typically also represents a billable service if the practice purchases the product.
This guidelines give us the hint to submit details of the drug to mention. So, it is always preferred to submit NDC also by most of the carriers.