Medical Billing Forum

Coding => Coding => Topic started by: Trisha Reyes on September 22, 2008, 05:16:56 PM

Title: rocephin injection
Post by: Trisha Reyes on September 22, 2008, 05:16:56 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.

Title: Re: rocephin injection
Post by: Michele on September 23, 2008, 06:56:34 AM
   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.