HCPCS Code J1750: Iron Dextran, 50 mg

Learn about the HCPCS code J1750 for injection, iron dextran, 50 mg through this short guide.

## **What is the HCPCS code J1750 for?** The HCPCS code J1750 is a J code. A J code is meant to designate an injected drug/medicine. For J1750, it's meant to designate the injection of iron dextran, specifically a 50 mg dose. It is often referred to as parenteral iron therapy or intravenous iron therapy, and is usually included in iron maintenance treatment. The purpose of this injection is to provide a patient with a 50 mg dose of iron by injecting it into their bloodstream. This dose is meant to help treat iron deficiency anemia by replenishing the body's iron stores. It's something that healthcare providers resort to if oral iron supplements aren't enough to treat it. Iron dextran injections are usually used to treat adult patients or pediatric patients with any of the following: - Iron deficiency anemia (especially the severe kind) - Severe blood loss - Poor oral iron absorption - Cannot take iron supplements due to potential gastrointestinal side effects - Inflammatory bowel disease - Chronic kidney disease - Those taking hemodialysis - Those who underwent gastric bypass surgery

## **Documentation requirements for J1750** As with any procedure, especially involving injecting drugs into patients, it's important to document the following before you file for a claim that includes this code: - The full name of the personnel who administered the injection + their credentials - The name and address of the facility where the injection was administered - The full name of the patient - The date and time of the drug administration by injection - Patient records showing they have been diagnosed with iron deficiency anemia, poor iron absorption, etc. - Patient records show they are suffering from a condition that causes iron deficiency (chronic kidney disease, inflammatory bowel disease), or they've undergone a procedure that results in iron deficiency (like gastric bypass surgery, hemodialysis) - Records showing they've taken oral iron therapies that didn't work - Medical necessity and prescribing information for taking this injection - Blood test results that show iron levels, hemoglobin, and ferritin. - The exact dosage and route

## **Billing requirements for J1750** Besides the documentation requirements above, please note the following billing requirements for this HCPCS code: - They must reflect the dosage given throughout the treatment. - Use either of two modifiers: JW if there's unused medication in a vial (wastage), or JZ if there's no unused medication. - This should also accompany either one of these two CPT codes: 96365 if you administered the medical treatment injection via IV, or 96372 if you administered it via IM.

## **Other similar codes** - J1756 - Injection, iron sucrose, 1 mg - J1640 - Injection, hemin, 1 mg - J0895 - Injection, deferoxamine mesylate, 500 mg - J9185 - Injection, fludarabine phosphate, 50 mg - J2675 - Injection, progesterone, per 50 mg

Frequently asked questions

There will be pain and discomfort at the injection site. There may be skin discoloration or straining at the site as well. Potential adverse complications include iron overload, hypotension, or allergic reactions (a small test dose should be provided to check for this).

Within a few days or a week after injection.

Taking oral iron supplements and adjusting iron intake for diets. Another option is red blood cell transfusion, but those are for extreme cases of iron deficiency anemia.