DEPO-PROVERA J Code: J1050
Injection, medroxyprogesterone acetate, 1 mg
Drug & Product Overview
About DEPO-PROVERA
Depo-provera is a medication aligned to the HCPCS J Code: J1050 for billing, pricing, and reimbursement purposes in the United States. This Contraceptive/ Long Acting Reversible medication is administered via the intramuscular or subcutaneous routes and manufactured by multiple companies.
Manufacturers, reach out to us to add more information.
NDC Code Information
13 NDC packages are crosswalked to J1050. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | DEPO-PROVERA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | DEPO-PROVERA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | DEPO-PROVERA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | DEPO-PROVERA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
DEPO-PROVERA Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →DEPO-PROVERA CPT Administration Codes
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 |
|---|---|
| 96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular |
CMS does not include Depo-provera (J1050) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1050. Wastage billing guide →
DEPO-PROVERA Medically Unlikely Edits (MUE)
The most billing units of J1050 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.
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 →
DEPO-PROVERA Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
Is there an available Depo-Provera billing and coding guide?
Are there any available Depo-Provera patient assistance programs?
Where can I find Depo-Provera prescribing information?
Where can I find Depo-Provera side effect information?
Does billing DEPO-PROVERA require JZ/JW wastage modifiers?
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