Medical Billing Forum

Coding => Coding => : Trisha Reyes September 22, 2008, 08:16:56 PM

: rocephin injection
: Trisha Reyes September 22, 2008, 08:16:56 PM

Hi, Michelle


I am trying to figure out how to bill rocephin injection of 500mg.  it is a mixture of rocephin and lidocain, I think the cpt code is J0696 but can not find the allowable for tx medicare anywhere.  I found old paperwork from 2001  that shows a rembursement of about  $63.00  but most recently it looks like $1.48 if that is correct what happend?  My understanding is that it is worth much more.  Thanks for your help.

Trisha

: Re: rocephin injection
: Michele September 23, 2008, 09:56:34 AM

Hi,
   J0696 is the correct code for rocephin injection.  One unit is 250mg, so for 500mg you would need to bill 2 units.  I looked on the TX MCR fee schedule and it shows $1.483 as the limiting fee.  I would call TX MCR and verify that info.  It doesn't sound correct.

Michele