Question 1

What is HCPCS code J1720?

Accepted Answer

HCPCS code J1720 is "Hydrocortisone sodium succ i". Injection, hydrocortisone sodium succinate, up to 100 mg

Question 2

What category is J1720 in?

Accepted Answer

J1720 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J1720?

Accepted Answer

Use J1720 when billing for hydrocortisone sodium succ i. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is J1720 covered by Medicare?

Accepted Answer

Coverage for J1720 (Hydrocortisone sodium succ i) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for J1720?

Accepted Answer

Documentation for J1720 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).