2025 HCPCS code J0136
Effective Date: N/A Drugs, Administered by Injection Feed
Injection, acetaminophen (B. Braun) not therapeutically equivalent to J0131, 10 mg
Modifiers JW and JZ can be used to indicate discarded drug amounts. Other modifiers like GA, GK, GY, GZ, M2, or QJ might apply based on the specific circumstances.
Medical necessity for J0136 must be supported by documentation demonstrating the patient's need for pain or fever management and the clinical rationale for choosing intravenous administration over other routes.
Providers administer J0136 intravenously to treat pain or fever. The dosage is determined based on the patient's condition and may be 1000 mg, 650 mg, or weight-based. Providers must ensure the correct dosage and administration method are used.
In simple words: This code represents 10 milligrams of intravenous acetaminophen made by B. Braun used to treat pain or fever through an IV drip. It is not the same as the acetaminophen in pill form or other IV acetaminophen brands.
Injection, acetaminophen (B. Braun), not therapeutically equivalent to J0131, 10 mg. This code represents the supply of the drug, specifically 10 mg of acetaminophen manufactured by B. Braun. It is administered via intravenous infusion to treat pain or fever and is not considered therapeutically equivalent to acetaminophen represented by code J0131. The standard dosage varies, typically 1,000 mg or 650 mg, or weight-based. This should not be confused with oral acetaminophen.
Example 1: A patient presents to the emergency department with a high fever unresponsive to oral medications. The physician orders intravenous acetaminophen (J0136) to reduce the fever quickly., A post-surgical patient experiences moderate pain not adequately managed by oral analgesics. The physician orders J0136 for pain relief., A patient with severe nausea and vomiting cannot tolerate oral medications. The physician orders intravenous acetaminophen (J0136) to manage their pain.
Documentation should include the diagnosis necessitating acetaminophen administration, the dosage administered, the route of administration (IV), and the patient's response to the medication.
** This J-code represents a drug that cannot be self-administered. Always verify coverage and reimbursement policies with individual payers. The HCPCS code descriptor specifies B. Braun as the manufacturer, indicating this code is distinct from other acetaminophen injection codes, reflecting a non-therapeutic equivalent status.
- Specialties:Emergency medicine, surgery, hospital medicine, anesthesiology, pain management
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center, Office, Home, Skilled Nursing Facility, Nursing Facility, Other Place of Service