tci Part B Insider - 2012 Issue 12

Reader Question: Generic vs. Brand Name Won't Change Your J3301 Billing

Question: My doctor is using Kenalog 40 (NDC 0003029328) from Bristol Myers Squibb. He says J3301 is not the correct code to bill because that is a generic code. Is there a different code to differentiate generics from non-generic when billing? Arizona Subscriber Answer: For Kenalog injections, you should use J3300 (Injection, triamcinolone acetonide, preservative free, 1 mg) or J3301 (Injection, triamcinolone acetonide, not otherwise specified, 10 mg) for the Kenalog itself. Pointer: Pay careful attention to the code descriptors when reporting units. For J3300, you should report 1 unit per 1 mg. In contrast, you should report 1...

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