2025 HCPCS code J1094
(Deleted) Effective Date: N/A Deletion Date: N/A Drugs Administered Other than Oral Method - Drugs, Administered by Injection Feed
Injection, dexamethasone acetate, 1 mg.
Medical necessity for J1094 must be supported by the documented diagnosis and the clinical rationale for using dexamethasone acetate. The documentation should demonstrate that the medication is necessary for the treatment of the patient's specific condition.
The code represents only the drug component itself, not the administration of the drug. Clinical responsibility lies with the physician to select the correct formulation and dosage of dexamethasone for the patient's condition and to administer it appropriately.
In simple words: This code represents a 1 milligram injection of dexamethasone acetate, a medicine used to reduce swelling and inflammation in the body. It's given as a shot into a muscle.
This code represents the supply of 1 mg of injectable dexamethasone acetate. Dexamethasone acetate is a corticosteroid used to treat inflammation. It is administered via intramuscular injection.
Example 1: A patient presents with an acute allergic reaction with significant swelling. The physician orders an intramuscular injection of dexamethasone acetate (J1094) to reduce the inflammation., A patient with rheumatoid arthritis experiences a flare-up with painful joint inflammation. The physician administers J1094 to provide relief and reduce the inflammation., A patient with ulcerative colitis experiences a severe episode of inflammation. The physician prescribes J1094 (when available, now deleted) to help control the inflammatory process.
Documentation should include the diagnosis necessitating the use of dexamethasone acetate, the dosage administered, the route of administration (intramuscular), and the patient's response to the medication.
** As of December 10, 2024, HCPCS code J1094 is deleted and no longer valid for billing. It has been replaced by J1100. Always verify the most current HCPCS code information with CMS or a reputable medical coding resource before billing. Avoid using outdated and deleted codes.
- Specialties:Allergy and Immunology, Rheumatology, Gastroenterology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital