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Here are examples of what you need: - The full name of the patient - The full names and credentials of the professionals handling the patient - The name, address, and type of facility where the injection was administered - The relevant information and indications related to the patient to justify medical necessity - The date and time of administration - Drug information (e.g., drug name, dosage, strength, route of administration, lot number, manufacturer, National Drug Code, etc.) - Relevant assessments that show the patient's osteoporosis, including the location and sizes of fractures (if any) - Provider's order ## **Billing requirements for J3111** Besides the documentation requirements above, please take note of or have the following: - 1 mg = 1 unit - Use the appropriate ICD diagnosis code for your patient - Also use CPT code 96372 since this is a subcutaneous injection - Use either of two modifiers: JW if there's unused medication in a vial (wastage), or JZ if there's no unused medication - Make sure to have prior authorization ## **Other similar codes** - **J3230** - Injection, chlorpromazine hcl, up to 50 mg - **J3240** - Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial - **J3241** - Injection, teprotumumab-trbw, 10 mg - **J3243** - Injection, tigecycline, 1 mg - **J3244** - Injection, tigecycline (accord), not therapeutically equivalent to J3243, 1 mg Frequently asked questions
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