CODEINE PHOSPHATE J Code: J0745
Injection, codeine phosphate, per 30 mg
Drug & Product Overview
About CODEINE PHOSPHATE
Codeine Phosphate is a medication aligned to the HCPCS J Code: J0745 for billing, pricing, and reimbursement purposes in the United States. It is an Opioid Analgesic drug administered via the intravenous route.
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NDC Code Information
No NDC packages are aligned to J0745 in publicly available CMS files.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| No public NDC alignments | ||||
CODEINE PHOSPHATE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96374 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug |
CMS does not include Codeine Phosphate (J0745) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0745. Wastage billing guide →
CODEINE PHOSPHATE Medically Unlikely Edits (MUE)
The most billing units of J0745 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 30 mg. The limit is different in the office and the hospital. Use the one for your setting.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
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Frequently Asked Questions
Is there an available Codeine Phosphate billing and coding guide?
Are there any available Codeine Phosphate patient assistance programs?
Where can I find Codeine Phosphate prescribing information?
Where can I find Codeine Phosphate side effect information?
Does billing Codeine Phosphate require JZ/JW wastage modifiers?
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