I need help with coding for a therapeutic drug injection, I was told to use CPT 96374, however this keeps being rejected as apart of the global code for my anesthesia 00170; where on my CMS-1500 do i specify what kind of drug this is so that it will be paid? I have found J code J1100 for decadron but do not know where on the claim form it should be listed. Thanks

I need help with coding for a therapeutic drug injection, I was told to use CPT 96374, however this keeps being rejected as apart of the global code for my anesthesia 00170; where on my CMS-1500 do i specify what kind of drug this is so that it will be paid? I have found J code J1100 for decadron but do not know where on the claim form it should be listed. Thanks

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Asked on April 4, 2011 5:16 pm
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Therapeutic drug injections are coded to medical carriers by the actual drug being used. If the drug you are using is Decadron you have the correct code of J1100. This code is placed in the procedure code of the CMS-1500 form just as your other CPT codes are, it is box 24D. You do not need to specify the drug as the J codes specifies it for you.

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Answered on April 5, 2011 5:16 pm
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