J1040HCPCS Level II

Injection, methylprednisolone acetate, 80 mg

Corticosteroid

The answer

J1040 is injection, methylprednisolone acetate, 80 mg, billed at 80 mg = 1 Unit. It covers Depo-Medrol (Methylprednisolone).

Code detail

Code: J1040
Code set: HCPCS Level II, maintained by CMS
Descriptor: Injection, methylprednisolone acetate, 80 mg
Billable unit: 80 mg = 1 Unit
Category: Corticosteroid

Dose to units calculation

The quantity reported on the claim is the dose divided by the code’s billable unit.

Interactive Unit Multiplier Calculator

J1040

Calculate the exact number of billable HCPCS units to report on CMS-1500 / 837P claims based on the patient dose and single-dose vial waste.

Administered Patient Dose

Units to report on claim:

2 Units

Based on 80 mg = 1 billable unit (1.3 exact)

Box 24 / HCPCS Quantity Formatted Line:J1040 UN2

Common Worked Examples:

Worked unit conversions for J1040
Dose administered	Billable unit	Units to report
50 mg	80 mg = 1 Unit	0.63
100 mg	80 mg = 1 Unit	1.25
200 mg	80 mg = 1 Unit	2.5
400 mg	80 mg = 1 Unit	5
1000 mg	80 mg = 1 Unit	12.5

Rounding and partial-unit rules vary by payer. Where a dose does not divide evenly, most payers expect the units actually administered plus a separate JW modifier line for the discarded remainder.

Drugs billed under J1040

1 brand name and 1 generic map to this code.

Brand

Depo-Medrol

Injection, methylprednisolone acetate, 80 mg

Billing detail

Generic

Methylprednisolone

Injection, methylprednisolone acetate, 80 mg

Billing detail

Next steps

Find the NDCs for Methylprednisolone

FDA drug records with packaging, strengths and the 11-digit HIPAA conversion already applied.

Search the directory

Convert the NDC for the claim

The three leading-zero rules that turn an FDA 10-digit code into the 11-digit form this claim line needs.

Open the guide

Terms used on this page

Billable unitThe quantity denominator built into a HCPCS drug code, which converts an administered dose into the number reported on the claim.Definition J-codeA HCPCS Level II code beginning with J that identifies a drug administered by a clinician rather than self-administered.Definition NDC quantityThe amount of drug actually taken from the package, expressed in the unit named by the unit qualifier.Definition JW modifierReports the amount of a single-dose container that was discarded rather than administered.Definition

HCPCS Level II is updated quarterly by CMS. Verify J1040 against the current release before submitting a high-value claim.