AHA Coding Clinic® for HCPCS - 2019 Issue 2; Ask the editor

Lupron

There are several HCPCS Level II J-codes for Lupron. HCPCS code J1950, Injection, leuprolide acetate (for depot suspension), per 3.75 mg, J9217, Leuprolide acetate (for depot suspension), per 7.5 mg, and J9218, Leuprolide acetate, per 1 mg. Unofficial references indicate how to code Lupron based on different diagnoses and/or treatments, however they appear to be inconsistent. How do you determine the correct reporting for Lupron in the hospital outpatient setting? ...

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