HCPCS Code J1930: Injection, Lanreotide, 1 mg

Learn about the HCPCS code J1930 for injection, lanterotide, 1 mg through this guide.

## **What is the HCPCS code J1930 for?** The J1930 HCPCS code for injection, lanreotide, 1 mg is the code you use to bill a 1 mg lanreotide injection (also known as a somatostatin analog injection) that was administered to a patient whose health status shows they are dealing with a hormonal disorder (it's usually used to treat acromegaly). The code J1930 for injection lanreotide falls under drugs administered by injection. It's one of the many codes you can use if you specialize in administering such injections to patients. This injection is used to help with the management of hormonal disorders and relieve the symptoms that patients deal with related to the hormonal disorder they're dealing with. If tumors developed as a result of the hormonal disorder, this injection can counteract those tumors, prevent them from growing any larger, and even shrink them.

## **Documentation requirements for J1930** As with any procedure, especially involving injecting drugs to 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 and their credentials - The full name of the patient - The date and time of the drug administration by injection - Patient records showing they have been diagnosed with acromegaly or some hormonal disorder - Patient records showing they have been diagnosed with neuroendocrine tumors and related symptoms (e.g., diarrhea, abdominal pain, flushing) - Blood test results that show hormone levels - Imaging test results showing locations and sizes of tumors (if any) - The name and address of the facility where the injection was administered - The exact dosage

## **Billing requirements for J1930** Besides the documentation requirements above, please note the following billing requirements for this HCPCS code: - They must reflect the dosage given over the course of the treatment. - Use either of the two modifiers: JW if there's unused medication in a vial (wastage), or JZ if there's no unused medication.

## **Other similar codes** - J1940 - Injection, furosemide, up to 20 mg - J1320 - Injection, amitriptyline HCl, up to 20 mg - J3490 - Unclassified drugs as maintained by CMS falls under drugs, administered by injection

Frequently asked questions

The patient will feel pain and discomfort at the site of injection. They might also feel nauseated and have diarrhea. The worst they can experience are infections, allergic reactions, or even pancreatitis.

A few weeks to a few months. Monitoring is important (regular blood tests, imaging tests).

They can take other medications such as octreotide. They can get surgery for the removal of tumors. Radiation therapy is another option.