How to Code for Depo Provera Services - Maryland

1 Maryland LOCAL HEALTH DEPARTMENT BILLING MANUAL 2016. How to Code for depo Provera Services Effective January 1, 2013, injection administration of medroxyprogesterone acetate ( depo - Provera ) should be reported using HCPCS code J1050 (Injection, medroxyprogesterone acetate, 1 mg). Due to the change in dosage from the discontinued codes, when reporting code J1050, the appropriate dosage (measured in units) should be reported based on the specific needs of the patient. Report the injection administration in addition to CPT code 96372. (Therapeutic, prophylactic, or diagnostic injection (specify substance or drug ); subcutaneous or intramuscular).

2 However, per CPT, it is not appropriate to report injection administration code 96372 without direct physician or other qualified health care professional supervision, unless administered in a hospital setting. In that case, report instead, code 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional), if applicable. RS & F Healthcare Advisors 130 ADMIRAL COCHRANE DRIVE SUITE 102 ANNAPOLIS, Maryland 21401 PHONE FAX