HCPCS Code Spotlight – J1010 – Injection, methylprednisolone acetate, 1 mg

HCPCS Codes change on a quarterly basis and it’s imperative to monitor these quarterly updates.  A recent HCPCS code change that will impact many healthcare providers and physicians nationwide took effect on April 1, 2024, and includes the deletion of 3 steroid injectable codes.  HCPCS Codes J1020 (per 20 mg), J1030 (per 40 mg), and J1040 (per 80mg) have been deleted and consolidated into 1 brand new code – J1010 – Injection, methylprednisolone acetate, 1 mg. 

The new billing code J1010 is reported based on individual milligrams injected, which means you will need to report based on each unit injected.  For example, if the provider injects DepoMedrol per 80 mg, the billed code would be J1010 x 80 units instead of J1040 x 1 unit.  This new code will impact various specialties including Primary Care, Orthopedics, Sports Medicine, Physical Medicine and Rehabilitation, Rheumatology, etc.

Don’t forget to update your EMR/EHR code library, practice management system, documentation templates, macros, etc. and communicate this change to your team so everyone knows this code change occurred. 

Read more about HCPCS Code J1010 here:  https://www.cms.gov/files/document/r12552cp.pdf

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