{"id":179895,"date":"2026-08-14T07:43:10","date_gmt":"2026-08-14T07:43:10","guid":{"rendered":"https:\/\/pabau.com\/?p=179895"},"modified":"2026-08-14T07:43:12","modified_gmt":"2026-08-14T07:43:12","slug":"hcpcs-code-j1631","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/","title":{"rendered":"HCPCS Code J1631: Haloperidol decanoate injection billing guide"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS Code J1631: Haloperidol Decanoate Injection Billing Guide\",\"description\":\"Complete reference for HCPCS Code J1631 (haloperidol decanoate injection, per 50 mg): billing units, NDC crosswalk, Medicare fee schedule, ICD-10 pairings, and payer coverage.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1631\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-07\",\"dateModified\":\"2026-08-14\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>HCPCS Code J1631 describes injection of haloperidol decanoate, per 50 mg, a long-acting injectable antipsychotic billed under Medicare Part B.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The billing unit is per 50 mg, so a 100 mg dose needs 2 units and a 150 mg dose needs 3.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>J1631 differs from J1630, which covers short-acting haloperidol up to 5 mg. Confusing the two is a common audit trigger.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Pabau&#8217;s claims management software validates insurer details before submission and tracks every J1631 claim through to payment.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">HCPCS Code J1631 is the billing code for an injection of haloperidol decanoate, per 50 mg. It covers the long-acting depot formulation used for maintenance treatment of schizophrenia and schizoaffective disorder. Because the unit is 50 mg rather than one injection, a single 100 mg dose is billed as 2 units.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide covers the unit rule, the NDC crosswalk, Medicare pricing, ICD-10 pairings, and payer coverage for J1631. Psychiatric and outpatient billing teams need all five to process these claims accurately.<\/p>\n\n\n\n<h2 id=\"h-hcpcs-code-j1631-definition-and-code-details\" class=\"wp-block-heading\">HCPCS Code J1631: Definition and code details<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HCPCS Code J1631 describes the injection of haloperidol decanoate, per 50 mg. It is a Level II HCPCS J-code maintained by the Centers for Medicare and Medicaid Services (CMS), which publishes and updates the HCPCS code set.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">J-codes cover drugs and biologicals administered in physician office and outpatient facility settings. J1631 captures the depot formulation of haloperidol, marketed as Haldol Decanoate. Generic haloperidol decanoate now supplies most of what practices buy, so the brand name rarely appears on the purchase order.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Haloperidol decanoate is not the same drug as immediate-release haloperidol. It is an esterified form designed for intramuscular depot injection, releasing the active drug slowly over 3 to 4 weeks. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/industry\/psychiatry-emr-software\/\" rel=\"noopener\">Psychiatry practices<\/a> use it for schizophrenia and schizoaffective disorder where oral adherence is a barrier. The extended dosing interval changes both the clinical workflow and the billing unit calculation.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Attribute<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">HCPCS code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">J1631<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, haloperidol decanoate, per 50 mg<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">HCPCS Level II J-code<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Drug name<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Haloperidol decanoate (brand: Haldol Decanoate)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Drug class<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Long-acting injectable (LAI) antipsychotic, first-generation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billing unit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Per 50 mg administered<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Typical setting<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Physician office (POS 11), outpatient hospital (POS 22)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Maintained by<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS, HCPCS Release and Code Sets<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-billing-units-for-hcpcs-code-j1631\" class=\"wp-block-heading\">Billing units for HCPCS Code J1631<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The billing unit rule for J1631 is simple, but it is often misapplied. One unit equals 50 mg of haloperidol decanoate administered. Report the number of units based on the dose actually given, rounded to the nearest whole unit. Do not round down when drug is drawn and discarded. The JW modifier rules below cover wastage.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Dose administered<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Units of J1631 to bill<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">50 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 unit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 mL from a 50 mg\/mL vial<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">100 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2 units<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 mL from a 100 mg\/mL vial, or 2 mL from a 50 mg\/mL vial<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">150 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3 units<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Higher-end maintenance dose. Verify the payer MUE before billing 3 units.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">200 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4 units<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Exceeds typical dosing. May require medical necessity documentation.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The most common billing error is submitting 1 unit when 100 mg was administered. That underbills the claim. It also creates a mismatch between the administered dose in the clinical record and the billed quantity, which can flag the claim during an audit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Accurate <a href=\"https:\/\/pabau.com\/templates\/psychiatric-evaluation-template\/\" rel=\"noopener\">psychiatric evaluation documentation<\/a> that links the prescribed dose to the administered amount is your first defense against that discrepancy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Wastage follows a separate rule. If a clinician draws 100 mg from a 100 mg\/mL single-dose vial and administers only 75 mg, the remaining 25 mg is wasted. CMS guidance for the JW modifier lets you report the administered dose on one line and the discarded amount on a second line.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Check the current instruction in the Medicare Claims Processing Manual, Chapter 17, before applying JW to J1631 claims. Payer acceptance of the modifier varies. The same single-dose vial arithmetic applies to other buy-and-bill injectables, including <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1441\/\" rel=\"noopener\">J1441<\/a>.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run a monthly audit comparing the dose documented in the clinical note to the units submitted on J1631 claims. A pattern of 1-unit claims against 100 mg administration notes is the most common J1631 audit trigger. It is cheap to correct in-house before a payer flags it.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-ndc-codes-that-map-to-j1631\" class=\"wp-block-heading\">NDC codes that map to J1631<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Many payers, including Medicare, require the National Drug Code (NDC) on outpatient drug claims alongside the HCPCS J-code. The NDC identifies the specific product dispensed, down to the manufacturer, concentration, and package size. For J1631, the relevant NDC codes map to two Haldol Decanoate concentrations: 50 mg\/mL and 100 mg\/mL.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Verify the current NDC against the <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/healthcare-common-procedure-system\/quarterly-update\" target=\"_blank\" rel=\"nofollow noopener\">CMS HCPCS quarterly update<\/a> files before submitting. NDC codes change when a manufacturer updates packaging or a new generic enters the market.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Product<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Concentration<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Package size<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">J1631 units per vial<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Haldol Decanoate 50<\/td>\n<td style=\"padding:12px 16px;color:#374151\">50 mg\/mL<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 mL single-dose vial<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 unit (50 mg total)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Haldol Decanoate 100<\/td>\n<td style=\"padding:12px 16px;color:#374151\">100 mg\/mL<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 mL single-dose vial<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2 units (100 mg total)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Haloperidol decanoate (generic)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">50 mg\/mL or 100 mg\/mL<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 mL or 5 mL multi-dose vial<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Per 50 mg drawn and administered<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">When reporting the NDC on a CMS-1500 claim, use the 11-digit NDC format (5-4-2) in the shaded area of Box 24. Add the unit of measure qualifier ML and the quantity in milliliters dispensed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On the UB-04 for outpatient hospital claims, the NDC appears in Form Locator 43, with the drug quantity in the adjacent qualifier field. The quantity you report must match what was drawn from the vial, not the vial size.<\/p>\n\n\n\n<h2 id=\"h-medicare-fee-schedule-for-hcpcs-code-j1631\" class=\"wp-block-heading\">Medicare fee schedule for HCPCS Code J1631<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare pays for J1631 under the Part B drug methodology, based on the Average Sales Price (ASP) of haloperidol decanoate. CMS calculates ASP quarterly, and the payment rate is ASP plus 6%. That covers acquisition cost plus an administration margin. Because ASP moves each quarter, the J1631 rate changes four times a year.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Check the current rate in the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule<\/a> lookup for the applicable quarter before quoting expected reimbursement. The same ASP plus 6% methodology governs other buy-and-bill injectables, such as <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1250\/\" rel=\"noopener\">J1250<\/a>.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Setting<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Billing form<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Pricing basis<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Physician office (POS 11)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS-1500<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ASP + 6%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Buy-and-bill pathway. The practice purchases and administers the drug.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Outpatient hospital (POS 22)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">UB-04<\/td>\n<td style=\"padding:12px 16px;color:#374151\">OPPS APC rate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Payment packaged into the APC. A separate J1631 rate may not apply.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Community mental health center<\/td>\n<td style=\"padding:12px 16px;color:#374151\">UB-04<\/td>\n<td style=\"padding:12px 16px;color:#374151\">OPPS or cost-based<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Verify the payer contract. Medicaid rates differ by state.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The administration fee for the injection is billed separately, usually with CPT code 96372 for a therapeutic subcutaneous or intramuscular injection. Practices often bill J1631 for the drug and forget the administration code, which leaves reimbursement on the table.<\/p>\n\n\n\n<h2 id=\"h-icd-10-diagnosis-codes-commonly-billed-with-j1631\" class=\"wp-block-heading\">ICD-10 diagnosis codes commonly billed with J1631<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every J1631 claim needs a supporting ICD-10-CM diagnosis code to establish medical necessity. Haloperidol decanoate is FDA-approved for schizophrenia. Its use for other psychotic disorders is supported by clinical guidelines, but it may need extra documentation depending on the payer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Billers at <a href=\"https:\/\/pabau.com\/industry\/mental-health-emr\/\" rel=\"noopener\">mental health practices<\/a> should confirm the treating clinician has documented a specific diagnosis, not a symptom-only code, before submitting.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">F20.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Paranoid schizophrenia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Primary indication and the most common pairing with J1631.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">F20.9<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Schizophrenia, unspecified<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when the subtype cannot be specified. Some payers prefer specified codes.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">F25.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Schizoaffective disorder, bipolar type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Common indication where a long-acting injectable supports adherence.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">F25.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Schizoaffective disorder, depressive type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Supported by clinical guidelines. Document the rationale for choosing a depot injection.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">F29<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified psychosis not due to a substance or known physiological condition<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use only when a specific diagnosis is not yet established. It may trigger prior authorization.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">F31.x<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bipolar disorder (various subtypes)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Off-label use. Document the clinical rationale and the failure of alternatives.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">List the primary psychotic disorder code first when comorbid conditions appear on the same claim. The ICD-10-CM sequencing rule for drug administration claims is that the condition requiring the treatment leads. Secondary diagnoses for depression, anxiety, or substance use follow the primary code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When you bill F29 or another unspecified code, expect a higher chance of prior authorization requirements from commercial payers. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices treating patients with several coexisting psychiatric diagnoses should make sure the record shows which one drives the haloperidol decanoate prescription. Payers increasingly audit claims where a high-cost depot injection sits against an unspecified or non-primary diagnosis.<\/p>\n\n\n\n<h2 id=\"h-payer-coverage-and-prior-authorization-for-j1631\" class=\"wp-block-heading\">Payer coverage and prior authorization for J1631<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Coverage for J1631 is not uniform across payers. The Part B versus Part D split causes the most confusion for billing staff. Getting it wrong routes the claim to the wrong payer entirely.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Medicare Part B:<\/strong> When a qualified provider administers haloperidol decanoate in an office or outpatient setting, Part B covers the drug as a provider-administered injectable. The practice buys the drug, administers it, and bills J1631 on a CMS-1500. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Check the local coverage determinations for your jurisdiction with your <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/medicare-administrative-contractors-macs\/who-are-macs\" target=\"_blank\" rel=\"nofollow noopener\">Medicare Administrative Contractor<\/a> (MAC).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Medicare Part D:<\/strong> Part D applies if a patient self-administers, or if a specialty pharmacy dispenses the drug for home administration. Neither is the intended delivery route for a depot injection. In practice, haloperidol decanoate is almost always a Part B claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Commercial payers:<\/strong> Prior authorization requirements for J1631 vary by plan and by formulary year. Many commercial plans require it for long-acting injectable antipsychotics, especially where step therapy applies. Documented trials of oral antipsychotics, billed in some settings under <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-h0033\/\" rel=\"noopener\">H0033<\/a>, support that request.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices managing <a href=\"https:\/\/pabau.com\/blog\/patient-compliance\/\" rel=\"noopener\">patient adherence<\/a> to depot therapy need documentation that states the clinical rationale plainly. That means prior medication trials, adherence history, and the treating clinician&#8217;s assessment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Medicaid:<\/strong> Medicaid coverage for J1631 varies by state. Most state programs cover long-acting injectable antipsychotics for schizophrenia, but prior authorization rules, quantity limits, and preferred drug list status differ. Confirm coverage with the state Medicaid agency before starting treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Solid <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\" rel=\"noopener\">documentation requirements<\/a> for practices treating Medicaid patients include keeping the prescribing rationale, the diagnosis, and the prior drug history in the record.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Always obtain prior authorization from commercial payers before administering J1631 to a new patient<\/li>\n\n\n\n<li>Document prior antipsychotic trials, including drug, dose, duration, and reason for discontinuation<\/li>\n\n\n\n<li>Verify the patient&#8217;s benefit year formulary, since prior authorization criteria often reset annually<\/li>\n\n\n\n<li>For Medicaid patients, check the state preferred drug list for haloperidol decanoate status<\/li>\n\n\n\n<li>If prior authorization is denied, the record should support a peer-to-peer review request<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-place-of-service-and-claim-submission-for-j1631\" class=\"wp-block-heading\">Place of service and claim submission for J1631<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The place of service code, the claim form, and the billing pathway all interact. The wrong combination causes systematic denials, so settle all three before you submit.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Scenario<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">POS code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Claim form<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Billing pathway<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Physician office administration<\/td>\n<td style=\"padding:12px 16px;color:#374151\">11<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS-1500<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Buy-and-bill, with the practice purchasing and administering the drug<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Outpatient hospital clinic<\/td>\n<td style=\"padding:12px 16px;color:#374151\">22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">UB-04<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital outpatient, where the OPPS APC may package the drug payment<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Community mental health center<\/td>\n<td style=\"padding:12px 16px;color:#374151\">53<\/td>\n<td style=\"padding:12px 16px;color:#374151\">UB-04<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMHC rates. Verify the Medicaid contract separately.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Home health (atypical)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">12<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS-1500 or UB-04<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rare. Confirm payer coverage for home administration.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">For physician office buy-and-bill claims, the practice buys haloperidol decanoate from a wholesaler or manufacturer. It then administers the drug during the visit and bills J1631 with units matching the dose.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The specialty pharmacy pathway works a little differently. The pharmacy dispenses to the practice, the practice administers, and billing still follows buy-and-bill rules. If a specialty pharmacy ships directly to the patient for self-administration, Part D governs and the practice does not bill J1631.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Whichever pathway you use, the record should preserve the link between what was prescribed, what was administered, and what was billed. That chain supports both <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-checklist-for-primary-care\/\" rel=\"noopener\">HIPAA compliance in billing<\/a> and an audit defense years later.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Submit the administration CPT code 96372 on the same claim line date as J1631. Billing the drug code without the administration code is a systematic revenue leak. Most practice management systems let you bundle the two into a single encounter template, so neither is forgotten.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-j1631-vs-j1630-understanding-the-difference\" class=\"wp-block-heading\">J1631 vs J1630: Understanding the difference<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">J1630 and J1631 both describe haloperidol injections, but they cover different formulations with different dosing intervals, billing units, and clinical contexts. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Using J1630 where J1631 applies, or the reverse, is one of the most audited coding errors in psychiatric injection billing. The table below separates the two codes across every dimension that affects the claim.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Attribute<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">J1630<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">J1631<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, haloperidol, up to 5 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, haloperidol decanoate, per 50 mg<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Formulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Immediate-release haloperidol (short-acting)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Haloperidol decanoate (long-acting depot)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Dosing interval<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Single dose for acute use, repeated as needed<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Every 3 to 4 weeks (maintenance therapy)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billing unit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Per administration, up to a 5 mg cap<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Per 50 mg, with no dose cap in the descriptor<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Typical clinical setting<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Emergency department, inpatient, acute agitation management<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Outpatient psychiatric practice, physician office<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Audit risk if confused<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Overbilling if depot doses are billed as J1630<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Underbilling or wrong-code denial if J1631 is filed as J1630<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The audit risk row is the one worth memorizing. Bill a 100 mg depot dose as J1630 at up to 5 mg and it is likely denied for a dose mismatch. If it does process, it generates a significant underpayment. It also leaves a documentation mismatch on the record.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The reverse error carries more weight. Billing a 5 mg acute injection as J1631 overbills relative to the drug administered, which becomes a billing compliance issue. Match the code to the formulation, not to the drug name alone.<\/p>\n\n\n\n<h2 id=\"h-how-claims-management-software-keeps-j1631-claims-clean\" class=\"wp-block-heading\">How claims management software keeps J1631 claims clean<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most practices handle a J1631 claim in two places. The dose lands in the clinical note. Somebody then re-keys the units, the NDC, and the insurer details into a billing tool or a payer portal. Every hop is another chance for the 1-unit-instead-of-2 error to slip through.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau keeps that chain inside one system. The patient&#8217;s insurer and policy live on the patient record, so each invoice routes to the correct third party without re-keying. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\" rel=\"noopener\">claims management software<\/a> then runs validation checks before submission, holding the Send button until missing details are fixed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">From there, every claim shows its live status in a single dashboard, from submitted through processing to paid. US practices submit electronically to thousands of payers through a connected clearinghouse, run eligibility checks, and post remittances in the same place. When payment arrives, you record it against the right invoice without exporting to a separate finance tool.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So your billing team stops chasing claim status across portals, and the practice gets paid faster on injections it has already delivered.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-j1631\/fully-integrated-with-pabau-billing.webp\" alt=\"Pabau billing dashboard showing claims, invoices and payment status in one view\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s claims dashboard shows the live status of every J1631 claim, so your team can spot a rejection before the filing deadline.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Track every J1631 claim in one dashboard                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&#8217;s claims management software validates insurer details before you submit, tracks each claim through to payment, and records that payment against the invoice. So your team stops chasing claim status across portals.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If your practice bills J1631 regularly, the one control that pays for itself is a monthly reconciliation between administered doses and submitted units. Almost everything else on this page follows from getting that single number right.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Set it up as a standing check rather than a response to a denial. A 1-unit claim against a 100 mg note is cheap to fix in-house. It is expensive to explain to a payer two years later.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The trade-off is that tighter coding discipline costs staff time you may not have to spare. That is the argument for letting the software carry it. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau validates and tracks injection claims from the note to the payment.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing another injectable psychotropic?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j0780\/\" rel=\"noopener\">HCPCS code J0780<\/a> walks through the units, coverage rules, and denial traps for prochlorperazine injection.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need the care plan behind the prescription?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/schizophrenia-nursing-care-plan\/\" rel=\"noopener\">Schizophrenia nursing care plan<\/a> sets out NANDA diagnoses and interventions that support medical necessity documentation.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Supporting patients between depot injections?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/mental-health-safety-plan\/\" rel=\"noopener\">Mental health safety plan template<\/a> gives you a free PDF and a session guide for building one with the patient.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Tracking oral antipsychotic trials for prior authorization?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/medication-schedule\/\" rel=\"noopener\">Medication schedule template<\/a> is a printable form for recording what the patient took, when, and at what dose.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Documenting behavioral goals alongside medication?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/behavioral-intervention-plan\/\" rel=\"noopener\">Behavioral intervention plan<\/a> covers how to structure targets, strategies, and review dates in the record.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786626502892\"><h3 class=\"schema-faq-question\">What is HCPCS Code J1631 used for?<\/h3> <p class=\"schema-faq-answer\">HCPCS Code J1631 is used to bill for the injection of haloperidol decanoate (Haldol Decanoate), a long-acting injectable antipsychotic, administered per 50 mg. It is reported on Medicare Part B claims when a provider administers the drug in an office or outpatient setting. The typical use is maintenance therapy for schizophrenia or schizoaffective disorder.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626502893\"><h3 class=\"schema-faq-question\">How many units of J1631 should I bill for a 100 mg dose of haloperidol decanoate?<\/h3> <p class=\"schema-faq-answer\">Bill 2 units of J1631 for a 100 mg dose. The billing unit is per 50 mg, so every 50 mg administered equals one unit. That makes 100 mg 2 units and 150 mg 3 units. Submitting 1 unit for a 100 mg dose is the most common J1631 billing error. It results in an underpayment or a documentation mismatch audit flag.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626502894\"><h3 class=\"schema-faq-question\">What is the difference between J1630 and J1631?<\/h3> <p class=\"schema-faq-answer\">J1630 covers short-acting haloperidol injection up to 5 mg, used for acute situations such as agitation management. J1631 covers haloperidol decanoate, the long-acting depot formulation administered every 3 to 4 weeks for maintenance therapy in schizophrenia. They describe different drugs with different dosing intervals and billing units. Using the wrong code is a common audit trigger.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626502895\"><h3 class=\"schema-faq-question\">What ICD-10 diagnosis codes are used with J1631?<\/h3> <p class=\"schema-faq-answer\">The most common ICD-10-CM codes paired with J1631 are F20.0 (paranoid schizophrenia) and F20.9 (schizophrenia, unspecified). The schizoaffective codes F25.0 (bipolar type) and F25.1 (depressive type) are also frequent. F29 (unspecified psychosis) is used when a specific diagnosis is not yet established, though this increases the likelihood of prior authorization requirements.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626502896\"><h3 class=\"schema-faq-question\">Does J1631 require prior authorization?<\/h3> <p class=\"schema-faq-answer\">Medicare Part B generally does not require prior authorization for J1631 when the drug is provider-administered. Commercial payers frequently do require it for long-acting injectable antipsychotics, often mandating documented failure of oral antipsychotics first. Medicaid prior authorization requirements vary by state. Always verify with the specific payer before administering the drug to a new patient.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626502897\"><h3 class=\"schema-faq-question\">What NDC codes map to HCPCS J1631?<\/h3> <p class=\"schema-faq-answer\">J1631 maps to NDC codes for Haldol Decanoate 50 (50 mg\/mL) and Haldol Decanoate 100 (100 mg\/mL), both 1 mL single-dose vials. Generic haloperidol decanoate products in the same two concentrations also map to J1631. Verify the current NDC against CMS crosswalk files before submitting, as NDC codes change when manufacturers update packaging.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>HCPCS Code J1631 is the billing code for an injection of haloperidol decanoate, per 50 mg. It covers the long-acting depot formulation used for maintenance treatment of schizophrenia and schizoaffective disorder. Because the unit is 50 mg rather than one injection, a single 100 mg dose is billed as 2 units. This guide covers the [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":179894,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"88","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548],"tags":[],"class_list":["post-179895","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS Code J1631: Haloperidol decanoate injection billing guide<\/title>\n<meta name=\"description\" content=\"HCPCS Code J1631 bills haloperidol decanoate per 50 mg, so a 100 mg dose is 2 units. Unit miscounts drive most denials.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HCPCS Code J1631: Haloperidol decanoate injection billing guide\" \/>\n<meta property=\"og:description\" content=\"HCPCS Code J1631 bills haloperidol decanoate per 50 mg, so a 100 mg dose is 2 units. Unit miscounts drive most denials.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-14T07:43:10+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-14T07:43:12+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1631.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Anja Dodevska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Anja Dodevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"13 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/\"},\"author\":{\"name\":\"Anja Dodevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\"},\"headline\":\"HCPCS Code J1631: Haloperidol decanoate injection billing guide\",\"datePublished\":\"2026-08-14T07:43:10+00:00\",\"dateModified\":\"2026-08-14T07:43:12+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/\"},\"wordCount\":2668,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j1631.webp\",\"articleSection\":[\"Billing Codes\",\"HCPCS\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/\",\"name\":\"HCPCS Code J1631: Haloperidol decanoate injection billing guide\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j1631.webp\",\"datePublished\":\"2026-08-14T07:43:10+00:00\",\"dateModified\":\"2026-08-14T07:43:12+00:00\",\"description\":\"HCPCS Code J1631 bills haloperidol decanoate per 50 mg, so a 100 mg dose is 2 units. Unit miscounts drive most denials.\",\"mainEntity\":[{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502892\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502893\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502894\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502895\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502896\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502897\"}],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#primaryimage\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j1631.webp\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j1631.webp\",\"width\":1200,\"height\":630},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/\",\"name\":\"Pabau\",\"description\":\"Clinic Software for your Business | Go Paperless Today\",\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/pabau.com\\\/es\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\",\"name\":\"Pabau\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"width\":736,\"height\":195,\"caption\":\"Pabau\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/Pabau\\\/\",\"https:\\\/\\\/x.com\\\/pabaucrm\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/pabau-ltd\\\/\",\"https:\\\/\\\/www.instagram.com\\\/pabausoftware\\\/\"],\"description\":\"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\",\"name\":\"Anja Dodevska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"caption\":\"Anja Dodevska\"},\"description\":\"Anja Dodevska writes about healthcare, dermatology, and the day-to-day realities of running a medical practice for Pabau. She enjoys breaking down complex topics into clear, accessible content and has a soft spot for the often-overlooked aspects of clinic life. When she's not writing, she's exploring cafes, walking her dog, or spending time with friends and family.\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/blog\\\/author\\\/anja-dodevska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502892\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502892\",\"name\":\"What is HCPCS Code J1631 used for?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"HCPCS Code J1631 is used to bill for the injection of haloperidol decanoate (Haldol Decanoate), a long-acting injectable antipsychotic, administered per 50 mg. It is reported on Medicare Part B claims when a provider administers the drug in an office or outpatient setting. The typical use is maintenance therapy for schizophrenia or schizoaffective disorder.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502893\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502893\",\"name\":\"How many units of J1631 should I bill for a 100 mg dose of haloperidol decanoate?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bill 2 units of J1631 for a 100 mg dose. The billing unit is per 50 mg, so every 50 mg administered equals one unit. That makes 100 mg 2 units and 150 mg 3 units. Submitting 1 unit for a 100 mg dose is the most common J1631 billing error. It results in an underpayment or a documentation mismatch audit flag.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502894\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502894\",\"name\":\"What is the difference between J1630 and J1631?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"J1630 covers short-acting haloperidol injection up to 5 mg, used for acute situations such as agitation management. J1631 covers haloperidol decanoate, the long-acting depot formulation administered every 3 to 4 weeks for maintenance therapy in schizophrenia. They describe different drugs with different dosing intervals and billing units. Using the wrong code is a common audit trigger.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502895\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502895\",\"name\":\"What ICD-10 diagnosis codes are used with J1631?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The most common ICD-10-CM codes paired with J1631 are F20.0 (paranoid schizophrenia) and F20.9 (schizophrenia, unspecified). The schizoaffective codes F25.0 (bipolar type) and F25.1 (depressive type) are also frequent. F29 (unspecified psychosis) is used when a specific diagnosis is not yet established, though this increases the likelihood of prior authorization requirements.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502896\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502896\",\"name\":\"Does J1631 require prior authorization?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicare Part B generally does not require prior authorization for J1631 when the drug is provider-administered. Commercial payers frequently do require it for long-acting injectable antipsychotics, often mandating documented failure of oral antipsychotics first. Medicaid prior authorization requirements vary by state. Always verify with the specific payer before administering the drug to a new patient.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502897\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-j1631\\\/#faq-question-1786626502897\",\"name\":\"What NDC codes map to HCPCS J1631?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"J1631 maps to NDC codes for Haldol Decanoate 50 (50 mg\\\/mL) and Haldol Decanoate 100 (100 mg\\\/mL), both 1 mL single-dose vials. Generic haloperidol decanoate products in the same two concentrations also map to J1631. Verify the current NDC against CMS crosswalk files before submitting, as NDC codes change when manufacturers update packaging.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"HCPCS Code J1631: Haloperidol decanoate injection billing guide","description":"HCPCS Code J1631 bills haloperidol decanoate per 50 mg, so a 100 mg dose is 2 units. Unit miscounts drive most denials.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/","og_locale":"es_ES","og_type":"article","og_title":"HCPCS Code J1631: Haloperidol decanoate injection billing guide","og_description":"HCPCS Code J1631 bills haloperidol decanoate per 50 mg, so a 100 mg dose is 2 units. Unit miscounts drive most denials.","og_url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/","og_site_name":"Pabau","article_publisher":"https:\/\/www.facebook.com\/Pabau\/","article_published_time":"2026-08-14T07:43:10+00:00","article_modified_time":"2026-08-14T07:43:12+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1631.webp","type":"image\/webp"}],"author":"Anja Dodevska","twitter_card":"summary_large_image","twitter_creator":"@pabaucrm","twitter_site":"@pabaucrm","twitter_misc":{"Escrito por":"Anja Dodevska","Tiempo de lectura":"13 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#article","isPartOf":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/"},"author":{"name":"Anja Dodevska","@id":"https:\/\/pabau.com\/es\/#\/schema\/person\/f2e43b25ed02313e8781f0f4507398b9"},"headline":"HCPCS Code J1631: Haloperidol decanoate injection billing guide","datePublished":"2026-08-14T07:43:10+00:00","dateModified":"2026-08-14T07:43:12+00:00","mainEntityOfPage":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/"},"wordCount":2668,"publisher":{"@id":"https:\/\/pabau.com\/es\/#organization"},"image":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1631.webp","articleSection":["Billing Codes","HCPCS"],"inLanguage":"es"},{"@type":["WebPage","FAQPage"],"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/","url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/","name":"HCPCS Code J1631: Haloperidol decanoate injection billing guide","isPartOf":{"@id":"https:\/\/pabau.com\/es\/#website"},"primaryImageOfPage":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#primaryimage"},"image":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1631.webp","datePublished":"2026-08-14T07:43:10+00:00","dateModified":"2026-08-14T07:43:12+00:00","description":"HCPCS Code J1631 bills haloperidol decanoate per 50 mg, so a 100 mg dose is 2 units. Unit miscounts drive most denials.","mainEntity":[{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502892"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502893"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502894"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502895"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502896"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502897"}],"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#primaryimage","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1631.webp","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1631.webp","width":1200,"height":630},{"@type":"WebSite","@id":"https:\/\/pabau.com\/es\/#website","url":"https:\/\/pabau.com\/es\/","name":"Pabau","description":"Clinic Software for your Business | Go Paperless Today","publisher":{"@id":"https:\/\/pabau.com\/es\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/pabau.com\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/pabau.com\/es\/#organization","name":"Pabau","url":"https:\/\/pabau.com\/es\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/pabau.com\/es\/#\/schema\/logo\/image\/","url":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","width":736,"height":195,"caption":"Pabau"},"image":{"@id":"https:\/\/pabau.com\/es\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/Pabau\/","https:\/\/x.com\/pabaucrm","https:\/\/www.linkedin.com\/company\/pabau-ltd\/","https:\/\/www.instagram.com\/pabausoftware\/"],"description":"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.","foundingDate":"2011-10-20","numberOfEmployees":{"@type":"QuantitativeValue","minValue":"201","maxValue":"500"}},{"@type":"Person","@id":"https:\/\/pabau.com\/es\/#\/schema\/person\/f2e43b25ed02313e8781f0f4507398b9","name":"Anja Dodevska","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg","caption":"Anja Dodevska"},"description":"Anja Dodevska writes about healthcare, dermatology, and the day-to-day realities of running a medical practice for Pabau. She enjoys breaking down complex topics into clear, accessible content and has a soft spot for the often-overlooked aspects of clinic life. When she's not writing, she's exploring cafes, walking her dog, or spending time with friends and family.","url":"https:\/\/pabau.com\/es\/blog\/author\/anja-dodevska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502892","position":1,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502892","name":"What is HCPCS Code J1631 used for?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"HCPCS Code J1631 is used to bill for the injection of haloperidol decanoate (Haldol Decanoate), a long-acting injectable antipsychotic, administered per 50 mg. It is reported on Medicare Part B claims when a provider administers the drug in an office or outpatient setting. The typical use is maintenance therapy for schizophrenia or schizoaffective disorder.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502893","position":2,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502893","name":"How many units of J1631 should I bill for a 100 mg dose of haloperidol decanoate?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Bill 2 units of J1631 for a 100 mg dose. The billing unit is per 50 mg, so every 50 mg administered equals one unit. That makes 100 mg 2 units and 150 mg 3 units. Submitting 1 unit for a 100 mg dose is the most common J1631 billing error. It results in an underpayment or a documentation mismatch audit flag.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502894","position":3,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502894","name":"What is the difference between J1630 and J1631?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"J1630 covers short-acting haloperidol injection up to 5 mg, used for acute situations such as agitation management. J1631 covers haloperidol decanoate, the long-acting depot formulation administered every 3 to 4 weeks for maintenance therapy in schizophrenia. They describe different drugs with different dosing intervals and billing units. Using the wrong code is a common audit trigger.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502895","position":4,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502895","name":"What ICD-10 diagnosis codes are used with J1631?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The most common ICD-10-CM codes paired with J1631 are F20.0 (paranoid schizophrenia) and F20.9 (schizophrenia, unspecified). The schizoaffective codes F25.0 (bipolar type) and F25.1 (depressive type) are also frequent. F29 (unspecified psychosis) is used when a specific diagnosis is not yet established, though this increases the likelihood of prior authorization requirements.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502896","position":5,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502896","name":"Does J1631 require prior authorization?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicare Part B generally does not require prior authorization for J1631 when the drug is provider-administered. Commercial payers frequently do require it for long-acting injectable antipsychotics, often mandating documented failure of oral antipsychotics first. Medicaid prior authorization requirements vary by state. Always verify with the specific payer before administering the drug to a new patient.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502897","position":6,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-j1631\/#faq-question-1786626502897","name":"What NDC codes map to HCPCS J1631?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"J1631 maps to NDC codes for Haldol Decanoate 50 (50 mg\/mL) and Haldol Decanoate 100 (100 mg\/mL), both 1 mL single-dose vials. Generic haloperidol decanoate products in the same two concentrations also map to J1631. Verify the current NDC against CMS crosswalk files before submitting, as NDC codes change when manufacturers update packaging.","inLanguage":"es"},"inLanguage":"es"}]}},"yoast":{"focus_keyword":"HCPCS Code J1631","seo_title":"HCPCS Code J1631: Haloperidol decanoate injection billing guide","meta_description":"HCPCS Code J1631 bills haloperidol decanoate per 50 mg, so a 100 mg dose is 2 units. Unit miscounts drive most denials.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"J1631 billing units","score":87},{"keyword":"J1631 Medicare fee schedule","score":61},{"keyword":"J1631 NDC crosswalk","score":61},{"keyword":"J1631 ICD-10 codes","score":61},{"keyword":"J1631 payer coverage","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/179895","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/users\/83"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/comments?post=179895"}],"version-history":[{"count":3,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/179895\/revisions"}],"predecessor-version":[{"id":180134,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/179895\/revisions\/180134"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media\/179894"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media?parent=179895"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/categories?post=179895"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/tags?post=179895"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}