Pharmacy Question for the Week of December 31, 2018

Pharmacy Compliance Question of the Week

Question:

Is J1094 the correct code to report injectable dexamethasone?

Answer:

HCPCS code J1094 (injection, dexamethasone acetate, 1 mg) is no longer manufactured. However, HCPCS code J1100 (injection, dexamethasone sodium phosphate, 1 mg) is currently available. In the National Correct Coding Initiative Manual for Medicare Services, the Centers for Medicare & Medicaid Services (CMS) caution physicians, when billing for dexamethasone, to be careful to report the correct formulation with the correct HCPCS code.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.