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Pharmacy Question for the Week of December 31, 2018

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.

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