Coding for Depo-Provera
Coding for Depo-Provera
Question: What are the CPT and ICD-9 codes for billing Depo-Provera injections for birth control?
Answer: According to coding expert Emily Hill, report 90772 (therapeutic, prophylactic, or diagnostic injection — specify substance or drug; subcutaneous or intramuscular) for the administration of the medication. Report the medication (Depo-Provera) in addition to the administration code using HCPCS Level II code J1051 or J1055. The specific code depends on the dosage given.
What about noting the unit of measurement for NDC? I note the NDC code and then thought I needed to note the dosage amount in grams or ml. Billed using J1050 for Depoprovera 150mg. and insurance. seems to pay @ .25/mg. The charge was for $73.00 but 150 units X .25= $37.50. I am confused on what is required info. when coding for this injection.