PREDNISOLONE ACETATE J Code: J2650
Injection, prednisolone acetate, up to 1 ml
Drug & Product Overview
About PREDNISOLONE ACETATE
Prednisolone Acetate is a medication aligned to the HCPCS J Code: J2650 for billing, pricing, and reimbursement purposes in the United States. It is an Ophthalmology drug administered via the intramuscular route.
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NDC Code Information
No NDC packages are aligned to J2650 in publicly available CMS files.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| No public NDC alignments | ||||
PREDNISOLONE ACETATE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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PREDNISOLONE ACETATE 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 Prednisolone Acetate (J2650) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2650. Wastage billing guide →
PREDNISOLONE ACETATE Medically Unlikely Edits (MUE)
The most billing units of J2650 Medicare will pay for one patient in one day, as published by CMS. 1 unit = up to 1 ml.
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 Prednisolone acetate billing and coding guide?
Are there any available Prednisolone acetate patient assistance programs?
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Does billing Prednisolone acetate require JZ/JW wastage modifiers?
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