{"id":163345,"date":"2026-07-27T11:53:40","date_gmt":"2026-07-27T11:53:40","guid":{"rendered":"https:\/\/pabau.com\/?p=163345"},"modified":"2026-08-17T11:36:32","modified_gmt":"2026-08-17T11:36:32","slug":"hcpcs-code-j1050","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/","title":{"rendered":"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide\",\"description\":\"HCPCS Code J1050 covers injection of medroxyprogesterone acetate (Depo-Provera), 1 mg per unit. Learn billing units, CPT 96372 pairing, NDC reporting, modifiers, and Medicare reimbursement.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1050\/\",\"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\":\"2026-07-24\",\"dateModified\":\"2026-07-24\"}<\/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 J1050 describes injection of medroxyprogesterone acetate at 1 mg per billable unit, covering Depo-Provera and Depo-subQ Provera 104<\/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 standard 150 mg IM Depo-Provera dose requires 150 units of J1050 on the claim; billing fewer units is the most common denial 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>Always pair J1050 with CPT 96372 for the administration service, and include the NDC on Medicaid claims or face automatic rejection<\/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 stores HCPCS drug codes, calculates units automatically, and flags missing NDC or modifier fields before submission<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">HCPCS Code J1050 is billed per 1 mg of medroxyprogesterone acetate, covering both the intramuscular Depo-Provera and subcutaneous Depo-subQ Provera 104 formulations. A standard 150 mg intramuscular dose is billed as 150 units, and the 104 mg subcutaneous dose is billed as 104 units &mdash; getting that unit count wrong is the most common cause of J1050 claim denials.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide covers unit calculation, administration code pairing.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is HCPCS Code J1050?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HCPCS Code J1050 is a Level II Healthcare Common Procedure Coding System code used to bill injectable medroxyprogesterone acetate at 1 mg per unit. The official long descriptor is: <em>Injection, medroxyprogesterone acetate, 1 mg<\/em>. It falls under the J-code series, which covers drugs administered by a provider in an office or outpatient setting and billed separately from the administration service.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Per <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/healthcare-common-procedure-system\" target=\"_blank\" rel=\"nofollow noopener\">CMS&#8217;s HCPCS overview<\/a>, Level II codes are maintained by the CMS HCPCS Workgroup and updated annually.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code applies to two branded formulations of medroxyprogesterone acetate (MPA): Depo-Provera 150 mg\/mL administered intramuscularly, and Depo-subQ Provera 104 mg\/0.65 mL administered subcutaneously. The descriptor doesn&#8217;t specify route, so both formulations are billed under J1050 &mdash; 150 units for the intramuscular dose, 104 units for the subcutaneous dose.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Therapeutically, medroxyprogesterone acetate serves two distinct clinical contexts: contraception, the most common outpatient indication, and oncology, primarily endometrial cancer treatment. The documented clinical indication must align with the ICD-10 diagnosis code submitted on the claim. Oncology administrations sometimes pair J1050 with the antiemetic palonosetron.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">J1050 code details at a glance<\/h2>\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\">Field<\/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\">Value<\/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\">J1050<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Long descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, medroxyprogesterone acetate, 1 mg<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Short descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Inj medroxyprogesterone acetate<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\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<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Status<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active<\/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 category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Progestin \/ injectable contraceptive \/ antineoplastic<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Brand names<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Depo-Provera 150 mg\/mL (IM); Depo-subQ Provera 104 mg\/0.65 mL (subQ)<\/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\">1 mg per unit<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Standard IM dose units<\/td>\n<td style=\"padding:12px 16px;color:#374151\">150 units (for 150 mg Depo-Provera)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Replaced code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Q0090 (retired)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Paired administration code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CPT 96372<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 class=\"wp-block-heading\">How to calculate billing units for J1050<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">J1050 billing units map directly to milligrams administered: one unit equals 1 mg of medroxyprogesterone acetate. For the standard intramuscular Depo-Provera dose of 150 mg, bill 150 units. For the subcutaneous Depo-subQ Provera 104 dose, bill 104 units.<\/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\">Formulation<\/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\">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 to bill (J1050)<\/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\">Depo-Provera 150 mg\/mL IM<\/td>\n<td style=\"padding:12px 16px;color:#374151\">150 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">150<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Depo-subQ Provera 104 mg\/0.65 mL subQ<\/td>\n<td style=\"padding:12px 16px;color:#374151\">104 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">104<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The most common billing error here is submitting 1 unit instead of 150, treating J1050 like a per-encounter code rather than a per-milligram code. Practices using claims management software with a drug code library can configure J1050 to auto-populate 150 units when a Depo-Provera service is documented, eliminating this manual step.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For sexual health clinics and family planning practices administering Depo-Provera at high volume, automating unit calculation is the single fastest path to fewer claim rejections.<\/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-j1050\/automate-claims-through-healthcode.webp\" alt=\"Automate claims and billing with Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Automate claims and billing with Pabau<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n\n\n<p class=\"wp-block-paragraph\">An <a href=\"https:\/\/pabau.com\/industry\/iv-therapy-emr-software\/\">EMR built for IV therapy<\/a> records the infusion, the units administered, and the J-code in one entry.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Paired administration code: CPT 96372<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">J1050 covers the drug cost only. The injection service itself is billed separately using CPT 96372, the code for a therapeutic, prophylactic, or diagnostic injection given subcutaneously or intramuscularly. Both codes appear on the same claim line, with a single unit of CPT 96372 alongside the appropriate unit count of J1050.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Place of service matters here. The combination of J1050 + CPT 96372 is appropriate for POS 11 (office) and most outpatient settings. Some payers, particularly Medicaid managed care plans, bundle CPT 96372 into the drug administration and will not reimburse it separately.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Verify payer-specific bundling rules before submitting. For reproductive health billing contexts, always confirm whether the plan applies NCCI edits to the J-code and administration code pair.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">ICD-10 diagnosis codes to pair with J1050<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medical necessity for J1050 claims depends on pairing the correct ICD-10-CM diagnosis code. The most common codes submitted with J1050 are shown below. The documented indication must match the coded diagnosis; contraceptive and oncologic claims require different codes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices administering J1050 during routine well-woman visits often bill cervical cancer screening under HCPCS Code G0145 in the same encounter, so both code sets should stay current in the charge master.<\/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 context<\/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\">Z30.42<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Encounter for surveillance of injectable contraceptive<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Most common; routine Depo-Provera administration<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Z30.49<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Encounter for surveillance of other contraceptives<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Used when Z30.42 does not precisely apply<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">N80.00<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Endometriosis of uterus, unspecified<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When MPA is used for endometriosis management<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">C54.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Malignant neoplasm of endometrium<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Oncologic use; requires oncology coverage criteria<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Z30.42 is the standard diagnosis for family planning encounters. Using a less specific code when Z30.42 is clearly applicable is a coding accuracy issue that can trigger audit findings. Practices managing HIPAA-compliant patient records should ensure the clinical note documents the indication explicitly so the coder can assign the correct diagnosis without guessing.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">NDC reporting requirements for HCPCS Code J1050<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicaid requires a National Drug Code (NDC) on every J-code drug claim, including J1050. Missing the NDC on a Medicaid claim results in automatic rejection. The NDC must be reported in the 5-4-2 format (labeler-product-package) and should reflect the specific vial or package dispensed, not a generic placeholder.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two formulations of medroxyprogesterone acetate are commonly billed under J1050. NDC numbers can vary by lot and manufacturer, so always verify against the current FDA drug labeling rather than relying on stored values that may be outdated. For prescription management workflows, cross-referencing the NDC at the time of dispensing is the most reliable approach.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare Part B does not mandate NDC reporting on claims at the federal level, but some Medicare Advantage plans may require it.<\/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-j1050\/stop-wasting-consultation-time-on-prescription-admin.webp\" alt=\"Stop wasting consultation time on prescription admin\"\/><figcaption class=\"wp-element-caption\"><em>Stop wasting consultation time on prescription admin<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n\n\n<h2 class=\"wp-block-heading\">J1050 modifiers: JW, JZ, and others<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier JW identifies the discarded or wasted portion of a single-use drug vial. When a provider administers less than the full vial content of medroxyprogesterone acetate, modifier JW is appended to a second J1050 line to report the discarded amount. This allows full vial reimbursement while documenting that not all drug was administered.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier JZ, effective for dates of service on or after January 1, 2023, is used when there is no discarded drug. It serves as the affirmative attestation that the entire vial was administered. CMS requires either JW or JZ on single-dose drug claims; submitting neither can trigger claim edits.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Verify current effective-date guidance via the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule<\/a> search tool before asserting payer-specific modifier rules, as policy can change annually.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Other modifiers may also apply. Modifier 59 (distinct procedural service) applies when J1050 is billed on the same date as another drug. Modifier 76 (repeat procedure) applies for same-day repeat administration.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Medicare and Medicaid fee schedule for J1050<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare Part B reimburses J1050 under the Average Sales Price (ASP) methodology at ASP + 6% per unit, paid to the administering provider. Because ASP changes quarterly, the per-unit rate for J1050 fluctuates. For the 150-unit standard dose, the total reimbursement is the per-unit rate multiplied by 150.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Always check the current quarterly ASP file on CMS.gov rather than using prior-quarter figures. Using stale rates in your fee schedule leads to systematic underbilling or patient balance errors.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicaid reimbursement for J1050 varies by state. Most states cover medroxyprogesterone acetate injections for family planning under Medicaid, and many states operate a family planning carve-out program that covers J1050 with no prior authorization (PA) required.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Commercial payers vary significantly: some require PA for Depo-Provera under pharmacy benefits, others cover it under the medical benefit without PA. Never generalize PA requirements across payers; verify plan-specific coverage before administering. For reproductive health and OB\/GYN practice billing, maintaining an up-to-date payer matrix for J1050 PA requirements is standard operating procedure.<\/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>Before submitting J1050 claims, confirm three things at the claim level: (1) units equal the mg administered, (2) CPT 96372 is on the same claim, and (3) the NDC appears on Medicaid claims in 5-4-2 format. Fixing these three fields eliminates the majority of J1050 denials without a single appeal.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Is J1055 ever the right code instead of J1050?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">No. J1055 is not a current billing option. CMS deleted J1055, along with J1051 and J1056, effective January 1, 2013, after terminating the codes on December 31, 2012. J1050, the per-1-mg code, replaced all three.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Before deletion, J1055&#8217;s descriptor was <em>Injection, medroxyprogesterone acetate for contraceptive use, 150 mg<\/em> &mdash; the 150 mg intramuscular contraceptive product, not the 104 mg subcutaneous Depo-subQ Provera some coders assume it covered. If J1055 still appears in an old charge master or payer fee schedule, treat it as a legacy reference only.<\/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\">Field<\/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\">J1055 (historical &mdash; deleted)<\/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\">Status<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Deleted, effective January 1, 2013<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Former descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, medroxyprogesterone acetate for contraceptive use, 150 mg<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Former formulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Depo-Provera 150 mg\/mL IM (never the subcutaneous product)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Replaced by<\/td>\n<td style=\"padding:12px 16px;color:#374151\">J1050, billed per 1 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">J1050 is the only active code for either formulation: bill 150 units for the 150 mg intramuscular dose and 104 units for the 104 mg subcutaneous Depo-subQ Provera dose. For compounded or non-standard medroxyprogesterone acetate formulations that don&#8217;t match either product, some payers may require the unclassified drug code J3490 instead &mdash; confirm with the payer before submitting.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Common billing errors for HCPCS Code J1050 and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Several recurring denial patterns appear on J1050 claims. Recognizing them before submission is faster than working a denial.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Wrong unit count:<\/strong> Submitting 1 unit instead of 150 for the standard IM dose. Fix: configure the drug code in your billing system to auto-populate 150 units for Depo-Provera 150 mg orders.<\/li><li><strong>Missing NDC on Medicaid claims:<\/strong> Medicaid auto-rejects J-code claims without a valid NDC in 5-4-2 format. Fix: make NDC entry a required field in the charge capture workflow for all injectable drug services.<\/li><li><strong>No administration code:<\/strong> Submitting J1050 without CPT 96372 means the drug is paid but the injection service is not. Fix: create a linked billing pair so both codes populate together. For guidance on linking drug and administration codes, refer to <a href=\"https:\/\/www.aapc.com\/codes\/hcpcs-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC&#8217;s HCPCS code reference<\/a>.<\/li><li><strong>Missing or wrong modifier:<\/strong> Omitting JW or JZ on single-dose vials triggers CMS edits. Fix: add a modifier decision prompt to the charge entry screen when a J-code is selected.<\/li><li><strong>Wrong place of service:<\/strong> POS 11 (office) is standard. Using an incorrect POS code for an outpatient setting changes the expected fee schedule and can cause a mismatch rejection.<\/li><li><strong>Using Q0090 on current claims:<\/strong> Q0090 was retired when J1050 took its place. Any claim submitted with Q0090 will be rejected. This crosswalk matters most for practices using older charge master files that have not been updated.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How practice management software can streamline J1050 billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most J1050 denials trace back to workflow breakdowns rather than coding knowledge: a unit count not updated when a new formulation was stocked, an NDC field skipped because it was optional in the software, or a modifier forgotten at end-of-day batch entry.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software with built-in drug code logic closes these breakdowns at the point of care rather than during denial management.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau supports injectable drug billing workflows through its claims management tools, including the ability to configure HCPCS J-code entries with default unit values and required fields for modifiers and NDC.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For OB\/GYN and women&#8217;s health practices that administer Depo-Provera regularly, this configuration means billers spend time reviewing claims instead of re-entering data that the clinical documentation already contains.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices using digital intake forms and clinical documentation can link the documented dose directly to the billing entry, reducing the transcription errors that create unit-count mismatches. For practices exploring other procedure code billing setups, the same automated field logic applies across J-code and CPT-code workflows.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Related HCPCS codes<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1885\/\">HCPCS code J1885 \u2014 Ketorolac<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1071-testosterone-cypionate-injection-guide\/\">HCPCS code J1071 \u2014 Testosterone Cypionate Injection<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1100\/\">HCPCS code J1100 \u2014 Billing guidelines for dexamethasone sodium phosphate<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1160\/\">HCPCS Code J1160<\/a><\/li>\n<\/ul>\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                    Reduce J1050 claim rejections before they happen                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&#8217;s claims management software lets you configure HCPCS drug codes with auto-populated unit values, required NDC fields, and modifier prompts. Fewer denials. Less time on appeals.                <\/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        <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 quarterly audit on your J1050 claims: pull the last 90 days of submissions, filter by J1050, and check (1) unit count accuracy against the administered dose, (2) presence of NDC on Medicaid claims, and (3) JW or JZ modifier on every single-dose vial claim. This three-field audit catches the majority of correctable denials before they age past the timely filing window.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HCPCS Code J1050 is one of the higher-volume J-codes in family planning and OB\/GYN billing, and its denial rate is largely preventable. Three fields drive most of the problems: unit count, NDC, and modifier. Get those right consistently, pair the code correctly with CPT 96372 and the appropriate Z30.42 diagnosis, and the claim processes cleanly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For practices looking to move from manual drug code entry to an automated workflow, see how Pabau handles injectable drug billing at the practice level. HIPAA-compliant documentation workflows that link clinical notes to charge capture are the foundation. To see the full claims workflow in action, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a>.<\/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 drug HCPCS code?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j2795\/\" target=\"_blank\" rel=\"noopener\">HCPCS code J2795<\/a> covers ropivacaine hydrochloride injection billing, including unit calculation and administration pairing.<\/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 supply-side billing code for the injection itself?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-a4208\/\" target=\"_blank\" rel=\"noopener\">HCPCS Code A4208<\/a> covers the sterile syringe with needle used to administer injectable drugs like medroxyprogesterone acetate.<\/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>Working through other HCPCS billing guides?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-c1733\/\" target=\"_blank\" rel=\"noopener\">HCPCS Code C1733<\/a> breaks down electrophysiology catheter billing with the same unit and modifier logic covered here.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 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-1784874633749\"><h3 class=\"schema-faq-question\">What is HCPCS Code J1050 used for?<\/h3> <p class=\"schema-faq-answer\">HCPCS Code J1050 is used to bill injectable medroxyprogesterone acetate at 1 mg per unit, covering Depo-Provera and Depo-subQ Provera administered in an office or outpatient setting. It applies to both contraceptive and oncologic uses, with the appropriate ICD-10 diagnosis code determining the clinical indication on the claim.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784874633750\"><h3 class=\"schema-faq-question\">How many units do I bill for Depo-Provera 150 mg?<\/h3> <p class=\"schema-faq-answer\">Bill 150 units of J1050 for a standard 150 mg intramuscular Depo-Provera dose. J1050 is billed per 1 mg, so the unit count always equals the dose in milligrams. For Depo-subQ Provera 104 mg, bill 104 units.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784874633751\"><h3 class=\"schema-faq-question\">What CPT code is used with J1050 for the injection administration?<\/h3> <p class=\"schema-faq-answer\">CPT 96372 (therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular) is the standard administration code billed alongside J1050. Submit one unit of CPT 96372 on the same claim as the J1050 line to capture both the drug cost and the administration service.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784874633752\"><h3 class=\"schema-faq-question\">Is J1055 still used instead of J1050?<\/h3> <p class=\"schema-faq-answer\">No. CMS deleted J1055, along with J1051 and J1056, effective January 1, 2013, and replaced them with J1050, the per-1-mg code. Before deletion, J1055 covered the 150 mg intramuscular contraceptive product, not the subcutaneous Depo-subQ Provera. Today, J1050 is the only active code: bill 150 units for the 150 mg intramuscular dose and 104 units for the 104 mg subcutaneous dose.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784874633753\"><h3 class=\"schema-faq-question\">What NDC number should be reported with J1050 on Medicaid claims?<\/h3> <p class=\"schema-faq-answer\">Report the NDC printed on the specific vial dispensed, formatted in 5-4-2 notation. NDC numbers vary by manufacturer lot, so verify against the packaging each time rather than using a stored default. Medicaid automatically rejects J-code claims submitted without a valid NDC.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784874633754\"><h3 class=\"schema-faq-question\">Did Q0090 get replaced by J1050?<\/h3> <p class=\"schema-faq-answer\">Yes. Q0090 was the former code for medroxyprogesterone acetate injection and was replaced by J1050. Any claim submitted with Q0090 today will be rejected. If your charge master or billing system still contains Q0090, update it to J1050 immediately to avoid automatic denials.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>HCPCS Code J1050 is billed per 1 mg of medroxyprogesterone acetate, covering both the intramuscular Depo-Provera and subcutaneous Depo-subQ Provera 104 formulations. A standard 150 mg intramuscular dose is billed as 150 units, and the 104 mg subcutaneous dose is billed as 104 units &mdash; getting that unit count wrong is the most common cause [&hellip;]<\/p>\n","protected":false},"author":81,"featured_media":163344,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"","_yoast_wpseo_content_score":"","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548],"tags":[1364,1582],"class_list":["post-163345","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs","tag-billing","tag-hcpcs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.3 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide<\/title>\n<meta name=\"description\" content=\"HCPCS Code J1050 bills medroxyprogesterone acetate per 1 mg: 150 units for the standard IM dose, 104 units for Depo-subQ Provera 104.\" \/>\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\/nl\/procedure-codes\/hcpcs-code-j1050\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide\" \/>\n<meta property=\"og:description\" content=\"HCPCS Code J1050 bills medroxyprogesterone acetate per 1 mg: 150 units for the standard IM dose, 104 units for Depo-subQ Provera 104.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/\" \/>\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=\"2026-07-27T11:53:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-17T11:36:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/hcpcs-code-j1050.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=\"Aleksandar Kochovski\" \/>\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=\"Geschreven door\" \/>\n\t<meta name=\"twitter:data1\" content=\"Aleksandar Kochovski\" \/>\n\t<meta name=\"twitter:label2\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/\"},\"author\":{\"name\":\"Aleksandar Kochovski\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/73b672a49e20bfba8161e3c17ee3dda2\"},\"headline\":\"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide\",\"datePublished\":\"2026-07-27T11:53:40+00:00\",\"dateModified\":\"2026-08-17T11:36:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/\"},\"wordCount\":2262,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/hcpcs-code-j1050.webp\",\"keywords\":[\"billing\",\"Hcpcs\"],\"articleSection\":[\"Billing Codes\",\"HCPCS\"],\"inLanguage\":\"nl-NL\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/\",\"name\":\"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/hcpcs-code-j1050.webp\",\"datePublished\":\"2026-07-27T11:53:40+00:00\",\"dateModified\":\"2026-08-17T11:36:32+00:00\",\"description\":\"HCPCS Code J1050 bills medroxyprogesterone acetate per 1 mg: 150 units for the standard IM dose, 104 units for Depo-subQ Provera 104.\",\"mainEntity\":[{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633749\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633750\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633751\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633752\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633753\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633754\"}],\"inLanguage\":\"nl-NL\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#primaryimage\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/hcpcs-code-j1050.webp\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/hcpcs-code-j1050.webp\",\"width\":1200,\"height\":630},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#website\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/\",\"name\":\"Pabau\",\"description\":\"Clinic Software for your Business | Go Paperless Today\",\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/pabau.com\\\/nl\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"nl-NL\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\",\"name\":\"Pabau\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/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\\\/nl\\\/#\\\/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\\\/nl\\\/#\\\/schema\\\/person\\\/73b672a49e20bfba8161e3c17ee3dda2\",\"name\":\"Aleksandar Kochovski\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-aleksandar-kochovski-profile-picture-96x96.jpeg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-aleksandar-kochovski-profile-picture-96x96.jpeg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-aleksandar-kochovski-profile-picture-96x96.jpeg\",\"caption\":\"Aleksandar Kochovski\"},\"description\":\"Aleksandar is a content strategist and editor working in tech publishing, with a background in higher education. He specializes in topics around compliance in software solutions. When he's not writing at Pabau, you can find him tending to his bonsai collection or hitting the gym.\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/blog\\\/author\\\/aleksandar-kochovski\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633749\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633749\",\"name\":\"What is HCPCS Code J1050 used for?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"HCPCS Code J1050 is used to bill injectable medroxyprogesterone acetate at 1 mg per unit, covering Depo-Provera and Depo-subQ Provera administered in an office or outpatient setting. It applies to both contraceptive and oncologic uses, with the appropriate ICD-10 diagnosis code determining the clinical indication on the claim.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633750\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633750\",\"name\":\"How many units do I bill for Depo-Provera 150 mg?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bill 150 units of J1050 for a standard 150 mg intramuscular Depo-Provera dose. J1050 is billed per 1 mg, so the unit count always equals the dose in milligrams. For Depo-subQ Provera 104 mg, bill 104 units.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633751\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633751\",\"name\":\"What CPT code is used with J1050 for the injection administration?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT 96372 (therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular) is the standard administration code billed alongside J1050. Submit one unit of CPT 96372 on the same claim as the J1050 line to capture both the drug cost and the administration service.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633752\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633752\",\"name\":\"Is J1055 still used instead of J1050?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. CMS deleted J1055, along with J1051 and J1056, effective January 1, 2013, and replaced them with J1050, the per-1-mg code. Before deletion, J1055 covered the 150 mg intramuscular contraceptive product, not the subcutaneous Depo-subQ Provera. Today, J1050 is the only active code: bill 150 units for the 150 mg intramuscular dose and 104 units for the 104 mg subcutaneous dose.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633753\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633753\",\"name\":\"What NDC number should be reported with J1050 on Medicaid claims?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Report the NDC printed on the specific vial dispensed, formatted in 5-4-2 notation. NDC numbers vary by manufacturer lot, so verify against the packaging each time rather than using a stored default. Medicaid automatically rejects J-code claims submitted without a valid NDC.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633754\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j1050\\\/#faq-question-1784874633754\",\"name\":\"Did Q0090 get replaced by J1050?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. Q0090 was the former code for medroxyprogesterone acetate injection and was replaced by J1050. Any claim submitted with Q0090 today will be rejected. If your charge master or billing system still contains Q0090, update it to J1050 immediately to avoid automatic denials.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide","description":"HCPCS Code J1050 bills medroxyprogesterone acetate per 1 mg: 150 units for the standard IM dose, 104 units for Depo-subQ Provera 104.","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\/nl\/procedure-codes\/hcpcs-code-j1050\/","og_locale":"nl_NL","og_type":"article","og_title":"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide","og_description":"HCPCS Code J1050 bills medroxyprogesterone acetate per 1 mg: 150 units for the standard IM dose, 104 units for Depo-subQ Provera 104.","og_url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/","og_site_name":"Pabau","article_publisher":"https:\/\/www.facebook.com\/Pabau\/","article_published_time":"2026-07-27T11:53:40+00:00","article_modified_time":"2026-08-17T11:36:32+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/hcpcs-code-j1050.webp","type":"image\/webp"}],"author":"Aleksandar Kochovski","twitter_card":"summary_large_image","twitter_creator":"@pabaucrm","twitter_site":"@pabaucrm","twitter_misc":{"Geschreven door":"Aleksandar Kochovski","Geschatte leestijd":"11 minuten"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#article","isPartOf":{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/"},"author":{"name":"Aleksandar Kochovski","@id":"https:\/\/pabau.com\/nl\/#\/schema\/person\/73b672a49e20bfba8161e3c17ee3dda2"},"headline":"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide","datePublished":"2026-07-27T11:53:40+00:00","dateModified":"2026-08-17T11:36:32+00:00","mainEntityOfPage":{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/"},"wordCount":2262,"publisher":{"@id":"https:\/\/pabau.com\/nl\/#organization"},"image":{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/hcpcs-code-j1050.webp","keywords":["billing","Hcpcs"],"articleSection":["Billing Codes","HCPCS"],"inLanguage":"nl-NL"},{"@type":["WebPage","FAQPage"],"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/","url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/","name":"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide","isPartOf":{"@id":"https:\/\/pabau.com\/nl\/#website"},"primaryImageOfPage":{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#primaryimage"},"image":{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/hcpcs-code-j1050.webp","datePublished":"2026-07-27T11:53:40+00:00","dateModified":"2026-08-17T11:36:32+00:00","description":"HCPCS Code J1050 bills medroxyprogesterone acetate per 1 mg: 150 units for the standard IM dose, 104 units for Depo-subQ Provera 104.","mainEntity":[{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633749"},{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633750"},{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633751"},{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633752"},{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633753"},{"@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633754"}],"inLanguage":"nl-NL","potentialAction":[{"@type":"ReadAction","target":["https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/"]}]},{"@type":"ImageObject","inLanguage":"nl-NL","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#primaryimage","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/hcpcs-code-j1050.webp","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/hcpcs-code-j1050.webp","width":1200,"height":630},{"@type":"WebSite","@id":"https:\/\/pabau.com\/nl\/#website","url":"https:\/\/pabau.com\/nl\/","name":"Pabau","description":"Clinic Software for your Business | Go Paperless Today","publisher":{"@id":"https:\/\/pabau.com\/nl\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/pabau.com\/nl\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"nl-NL"},{"@type":"Organization","@id":"https:\/\/pabau.com\/nl\/#organization","name":"Pabau","url":"https:\/\/pabau.com\/nl\/","logo":{"@type":"ImageObject","inLanguage":"nl-NL","@id":"https:\/\/pabau.com\/nl\/#\/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\/nl\/#\/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\/nl\/#\/schema\/person\/73b672a49e20bfba8161e3c17ee3dda2","name":"Aleksandar Kochovski","image":{"@type":"ImageObject","inLanguage":"nl-NL","@id":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-aleksandar-kochovski-profile-picture-96x96.jpeg","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-aleksandar-kochovski-profile-picture-96x96.jpeg","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-aleksandar-kochovski-profile-picture-96x96.jpeg","caption":"Aleksandar Kochovski"},"description":"Aleksandar is a content strategist and editor working in tech publishing, with a background in higher education. He specializes in topics around compliance in software solutions. When he's not writing at Pabau, you can find him tending to his bonsai collection or hitting the gym.","url":"https:\/\/pabau.com\/nl\/blog\/author\/aleksandar-kochovski\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633749","position":1,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633749","name":"What is HCPCS Code J1050 used for?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"HCPCS Code J1050 is used to bill injectable medroxyprogesterone acetate at 1 mg per unit, covering Depo-Provera and Depo-subQ Provera administered in an office or outpatient setting. It applies to both contraceptive and oncologic uses, with the appropriate ICD-10 diagnosis code determining the clinical indication on the claim.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633750","position":2,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633750","name":"How many units do I bill for Depo-Provera 150 mg?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Bill 150 units of J1050 for a standard 150 mg intramuscular Depo-Provera dose. J1050 is billed per 1 mg, so the unit count always equals the dose in milligrams. For Depo-subQ Provera 104 mg, bill 104 units.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633751","position":3,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633751","name":"What CPT code is used with J1050 for the injection administration?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT 96372 (therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular) is the standard administration code billed alongside J1050. Submit one unit of CPT 96372 on the same claim as the J1050 line to capture both the drug cost and the administration service.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633752","position":4,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633752","name":"Is J1055 still used instead of J1050?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. CMS deleted J1055, along with J1051 and J1056, effective January 1, 2013, and replaced them with J1050, the per-1-mg code. Before deletion, J1055 covered the 150 mg intramuscular contraceptive product, not the subcutaneous Depo-subQ Provera. Today, J1050 is the only active code: bill 150 units for the 150 mg intramuscular dose and 104 units for the 104 mg subcutaneous dose.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633753","position":5,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633753","name":"What NDC number should be reported with J1050 on Medicaid claims?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Report the NDC printed on the specific vial dispensed, formatted in 5-4-2 notation. NDC numbers vary by manufacturer lot, so verify against the packaging each time rather than using a stored default. Medicaid automatically rejects J-code claims submitted without a valid NDC.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633754","position":6,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j1050\/#faq-question-1784874633754","name":"Did Q0090 get replaced by J1050?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. Q0090 was the former code for medroxyprogesterone acetate injection and was replaced by J1050. Any claim submitted with Q0090 today will be rejected. If your charge master or billing system still contains Q0090, update it to J1050 immediately to avoid automatic denials.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"}]}},"yoast":{"focus_keyword":"HCPCS Code J1050","seo_title":"HCPCS Code J1050: Medroxyprogesterone acetate injection billing guide","meta_description":"HCPCS Code J1050 bills medroxyprogesterone acetate per 1 mg: 150 units for the standard IM dose, 104 units for Depo-subQ Provera 104.","content_score":"","is_cornerstone":"","related_keyphrases":[{"keyword":"depo provera hcpcs code","synonyms":["j1050 hcpcs code","depo provera billing code","j1050 billing units","medroxyprogesterone acetate injection billing"]},{"keyword":"j1050 medicare reimbursement","synonyms":["j1050 hcpcs code","depo provera billing code","j1050 billing units","medroxyprogesterone acetate injection billing"]},{"keyword":"j1050 medicaid billing","synonyms":["j1050 hcpcs code","depo provera billing code","j1050 billing units","medroxyprogesterone acetate injection billing"]},{"keyword":"cpt code 96372","synonyms":["j1050 hcpcs code","depo provera billing code","j1050 billing units","medroxyprogesterone acetate injection billing"]},{"keyword":"ndc crosswalk hcpcs","synonyms":["j1050 hcpcs code","depo provera billing code","j1050 billing units","medroxyprogesterone acetate injection billing"]}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/163345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/users\/81"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/comments?post=163345"}],"version-history":[{"count":4,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/163345\/revisions"}],"predecessor-version":[{"id":181521,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/163345\/revisions\/181521"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/media\/163344"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/media?parent=163345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/categories?post=163345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/tags?post=163345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}