I’m struggling with something, and was hoping to get everyone’s input. The providers at my clinic have started using a lot of Depo-Medrol for injections. Our clinic has the 80mg/ml version, but the providers always use less than 1 ml. Typically 0.5ml, so 40mg. The HCPCS code for 40mg would be J1030, but my understanding is that because the NDC number we’ll report is linked to the 80 mg dose, and the NDC and HCPCS have to match, we’re required to report J1040, the 80mg code. This makes me uncomfortable.

Does anyone else do this? If so, do you have a good source to back up doing it? There are sources that say they must match, but no one addressing how that could require you to use an inaccurate HCPCS code. If what we’re doing is not correct, I would love to know that, too.

Thanks for any insight!