J3301 CPT/HCPCS coding guide for coders

Basic information about J3301 CPT/HCPCS code

Triamcinolone acetonide is a synthetic glucocorticoid used to treat inflammatory disorders such as severe allergies and skin conditions, asthma, and arthritis; as an immunosuppressant in some immune system disorders; as short-term or palliative therapy for ulcerative colitis, regional enteritis, and Crohn’s disease; management of certain blood disorders; and palliative treatment for leukemia and lymphomas.

Drug may be used in conjunction with mineralocorticoid as replacement for adrenocortical insufficiency. Use of this drug is contraindicated in patient with systemic fungal infections or with administration of a live virus vaccine. Medication should be used cautiously in women who are pregnant or breastfeeding and by all patients with a history of liver, kidney, or cardiovascular disease, recent myocardial infarction, thyroid disorders, mental/mood disorders, myasthenia gravis, seizures, herpes infection of the eye, tuberculosis (TB), osteoporosis, or gastrointestinal ulcers/bleeding.

Generic name: triamcinolone acetonide

Brand name(s): Clinicort, Kenalog, Tri-Kort, Trilog

MUE details about J3301 CPT/HCPCS code

Below are the Medically Unlikely Edits (MUEs) for J3301 CPT/HCPCS code.

Effective: 1-Jul-23
The MUE for J3301 is 16
The MAI is 3 Date of Service Edit: Clinical
MUE Rationale: Prescribing Information

Note: An MUE for a HCPCS/CPT code is the maximum units of service (UOS) that a provider would report under most circumstances for a single beneficiary on a single date of service. Not all HCPCS/CPT codes have an MUE.

CPT codes related to J3301 HCPCS/CPT code

Below are the Procedure codes related to J3301 CPT/HCPCS code

36593 Declotting by thrombolytic agent of implanted vascular access device or catheter
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour
96361 Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
96367 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)
96368 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)
96369 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)
96370 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
96371 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure)
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
96373 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug
96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)
96376 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)
96379 Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion
96401 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic
96402 Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic
96405 Chemotherapy administration; intralesional, up to and including 7 lesions
96406 Chemotherapy administration; intralesional, more than 7 lesions
96409 Chemotherapy administration; intravenous, push technique, single or initial substance/drug
96411 Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)
96416 Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump
96417 Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)
96420 Chemotherapy administration, intra-arterial; push technique
96422 Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour
96423 Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure)
96425 Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump
96440 Chemotherapy administration into pleural cavity, requiring and including thoracentesis
96446 Chemotherapy administration into the peritoneal cavity via indwelling port or catheter
96450 Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture
96521 Refilling and maintenance of portable pump
96522 Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial)
96523 Irrigation of implanted venous access device for drug delivery systems
96542 Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents
96549 Unlisted chemotherapy procedure

ASC Payment information of J3301 CPT/HCPCS code

Multiple Procedure Discount:No
Payment Weight:N/A
Payment Rate:N/A
Payment Indicator:N1
Indicator Definition:Packaged service/item; no separate payment made.

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