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J0152 adenosine injection. 1mg Injection, Carfilzomib, 1 mg Inj, Omacetaxine Mep, 0.
- J0152 adenosine injection. Oregon Subscriber Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270) This is the 2007 version of HCPCS J0152 - please refer to the 2016 HCPCS code set for the latest version. 40$ N/A E 32. xls Drugs_and_Biologicals_2-1-13. 7 – Injection Services 20. AFTER 12 PM, PATIENT ACCESS SHOULD NOTIFY NUCLEAR MEDICINE OF ALL NEXT DAY ADD-ONS, NEXT DAY CANCELLATIONS, AND NEXT DAY TIME CHANGES SO THAT ISOTOPES MAY BE ORDERED OR CANCELLED. Example: Adenosine injection (Adenoscan® 3mg/ml) HCPCS Code = J0152 HCPCS Units = 30mg NDC Unit of Measure = ML 10ml @ 3mg/ml = 30mg Adenoscan® 30mg is NDC quantity 10 NDC Billing Reference for Nevada Medicaid and Nevada Check Up Claims Updated 10/10/2022 (pv02/25/ Jan 2012 ASP Pricing File for WF and Web (3) 1 01 2012. If the effective date is retroactive, then ‘old’ describes the attribute for the 4 days ago · Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 0. Jan 8, 2014 · 2. HCPCS Coverage Code: Carrier judgment. docx from AA 1Krista Hanna 209 ASSIGNMENT 11 1. May 3, 2023 · SPECIAL CONSIDERATIONS **CHECK SCHEDULE AT 12 PM OR AFTER. Use this code for Humira. 01 mg N N Free 2011 HCPCS J Codes J0120 Injection, tetracycline, up to 250 mg J0129 Injection, abatacept, 10 mg J0130 Injection abciximab, 10 mg J0132 Injection, acetylcysteine, 100 mg J0133 Injection, acyclovir, 5 mg J0135 Injection, adalimumab, 20 mg J0150 Injection, adenosine for therapeutic use, 6 mg (not to be used to report a J0152 Injection, adenosine for diagnostic use, 30 mg (not to be used J0152 Adenosine injection, 30 mg Injection Adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds, instead use A9270) ADENOSCAN E $68. Vitamin B12 injection J3420 3. 173 J0280 Aminophyllin up to 250 MG, inj. The NDC quantity you submit will be based on the actual drug administered. 125 mg Tacrolimus ex rel oral 0. This way the doctor can still determine how the heart responds to stress, but no exercise is required. 374 J0460 Atropine sulfate injection, up to 0. May 16, 2006 Payment Allowance Limits for Medicare Part B Drugs Effective April 1, 2006 through June 30, 2006 Note 1: Payment allowance limits subject to the ASP methodology are based on 4Q05 ASP data. Jan 1, 2014 · Find details for HCPCS code J0152. CMS chooses 3 groups to accredit advanced imaging providers by 2012 HCPCS Procedures and DMEPOS codes that begin with the prefix J0. 5mg Q0165 Prochlorperazine maleate10mg Q0168 Dronabinol 5mg oral Q0170 Promethazine HCl 25 mg oral Nov 12, 2009 · is there a procedure code i can use to bill for the injection of the contrast agent A9500 used in the myocardio perfussion studies? this is administered via IV. We have been getting paid once for each code. Note 2: The absence or presence of a HCPCS code and the payment allowance limits in this table does not indicate Medicare coverage of the drug. or is it being bundled into the test itself? Jan 1, 2014 · The “old” column describes the attribute prior to the change being made in the current update, which is indicated in the “new” column. Feb 19, 2024 · Note: There have been many changes to coding for adenosine from 2013 to 2015 for dates of service prior to January 1, 2014 providers use HCPCS level II code J0152, Injection, Adenosine, for diagnostic use, per 30 mg increments, for dates of service January 1, 2014 to December 31, 2014 providers would report the new in 2014 HCPCS level II code Jun 27, 2024 · II code J0152, Injection, Adenosine, for diagnostic use, per 30 mg increments, for dates of service January 1, 2014 to December 31, 2014 providers would report the new in 2014 HCPCS level II code J0151 Injection, Adenosine, for diagnostic use, per milligram and for dates of service on or after January 1, 2015 and beyond use HPCPS level II code The 2006 OPPS Pricer is ready for implementation on January 1, 2006. If the effective date of the change is the same as the effective date of the new update, ‘old’ describes the attribute up to the last day of the previous quarter. 325 J1120 Acetazolamide sodium injection, up to 500 mg N/A E 32. Since the test is done resting and stress and the adenosine is done twice is there a better way of billing, so we don't A9579 Gadolinium-based magnetic resonance contrast agent, per ml. 034 J2785 Regadenoson Injection J1245 Dipyridamole Injection J0152 Adenosine 30mg, (replaces J1245) J0153 Adenosine 1mg, Injection J0280 Aminophyllin 250mg, Injection Q ualifications Oct 30, 2007 · Our biller has been billing 78478 x2 & 78480 x 2 for the adenosine injection. Oct 10, 2025 · HCPCS J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) Table of Contents HCPCS Information HCPCS Code: J0153 The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. Search through the 2025 Healthcare Common Procedure Coding System. It is predominantly used in medical settings such as hospitals, outpatient clinics, and ambulatory surgery centers. A "single-dose" vial designation of Adenosine contains 90 mg. 5 units? I don't think we can report J0152 for 30 mgs if the patient was given only 20 mgs. Policy: Beginning January 1, 2004, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provides that the payment limits for most drugs and biologicals not paid on a cost or prospective payment basis are based on 85 percent of the Average Wholesale Price (AWP) reflected in the published compendia as of April 1, 2003, for those drugs and biologicals furnished on Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270) This is the 2011 version of HCPCS J0150 - please refer to the 2016 HCPCS code set for the latest version. J1245 Dipyridammole Injection, per 10mg. Because the State may pay up to the 20 percent Medicare A9579 Gadolinium-based magnetic resonance contrast agent, per ml. 3. Similarly, the inclusion of a payment allowance Jan 1, 1994 · Healthcare Common Procedure Coding System Code J0150 (0010),Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270) View ASSIGNMENT 11 HCPCS 209. This mandate affects all providers who submit electronic or paper claims for procedure coded drugs. Jun 27, 2024 · II code J0152, Injection, Adenosine, for diagnostic use, per 30 mg increments, for dates of service January 1, 2014 to December 31, 2014 providers would report the new in 2014 HCPCS level II code J0151 Injection, Adenosine, for diagnostic use, per milligram and for dates of service on or after January 1, 2015 and beyond use HPCPS level II code Feb 22, 2007 · Question:If we use the entire vial of a 20-mg vial of adenosine during a nuclear study, how should we bill that -- J0150 (Injection, adenosine for therapeutic use, 6 mg) x 3. 5mg Inj, Ocriplasmin, 0. 06 11. • Stress echocardiogram is a graphic outline of the heart's Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270) This is the 2010 version of HCPCS J0152 - please refer to the 2016 HCPCS code set for the latest version. 86% J0280 Aminophyllin up to 250 MG, inj. Know how to use HCPCS Code J0152 through Codify HCPCS codes Lookup Online Tools. J0152 : Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270) ( Adenosine injection ) Additionally, you can get information about the “J0152” HCPCS code in HTML | TXT | PDF | XML formats. Gradient compression stocking, full length, 30-40 mmhg Payment Allowance Limits for Medicare Part B Drugs Effective J0132 Overview The Federal Deficit Reduction Act of 2005 mandates that Indiana Health Coverage Programs (IHCP) require the submission of National Drug Codes (NDCs) on claims submitted with certain procedure codes for physician administered drugs. Feb 19, 2024 · Note: There have been many changes to coding for adenosine from 2013 to 2015 for dates of service prior to January 1, 2014 providers use HCPCS level II code J0152, Injection, Adenosine, for diagnostic use, per 30 mg increments, for dates of service January 1, 2014 to December 31, 2014 providers would report the new in 2014 HCPCS level II code Jan 1, 2015 · Find HCPCS codes. However, the drug HCPCS, which are included in the attached list, won’t have the new drug prices included, for the reasons explained above. List the appropriate HCPCS code for the pharmacologic stress agent such as J1245 dipyridamole, J0152 adenosine, J1250 dobutamine, or J2785 regadenoson in addition to the imaging CPT code (93015-93018) when the nuclear medicine test includes exercise/pharmacological stress. The original story had mentioned J0150 (injection adenosine, 6 mg, $10. From cardiacmri. N/A E 0. MED: 100-2,15,50 @ J0152 Evaluate hyperthyroidism, evaluate enlarged glands or glands with nodules, diagnose graves disease, evaluate sub-acute and chronic thyroiditis 20. J0152 Adenosine Injection, per 30 mg. 40$ J0152 Adenosine injection J0718 Certolizumab pegol inj J1440 Filgrastim 300 mcg injection J1441 Filgrastim 480 mcg injection J3487 Zoledronic acid J3488 Reclast injection J9002 Doxil injection L0430 Dewall posture protector Q0090 Skyla 13. Provider Types Affected: Outpatient Hospitals Problem Description: Medicare Recovery Auditors performed validation of claims for HCPCS code J0152, which is defined in the HCPCS manual as Injection, adenosine for diagnostic use, 30 mg (not to report any adenosine phosphate compounds; instead use A9270). 25 story on Recovery Audit Contractor (RAC) targets should have stated Connolly Healthcare is only approved to review outpatient hospital claims billing J0152 (Adenosine injection, $80. N N Packaged into APC rate Packaged into APC rate J0461 Inj, atropine sulfate, 0. J0133 Acyclovir, 5 mg, injection J0150 Adenosine, 6 mg, injection (not to be used to report any adenosine phosphate compouds; instead use A9270) (Adenocard) J0152 Adenosine, 30 mg, injection (not to be used to report any adenosine phosphate compounds; use A9270) J0180 Jun 27, 2024 · II code J0152, Injection, Adenosine, for diagnostic use, per 30 mg increments, for dates of service January 1, 2014 to December 31, 2014 providers would report the new in 2014 HCPCS level II code J0151 Injection, Adenosine, for diagnostic use, per milligram and for dates of service on or after January 1, 2015 and beyond use HPCPS level II code Drugs administered other than oral method, chemotherapy drugs J0153 is a valid 2025 HCPCS code for Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) or just “ Adenosine inj 1mg ” for short, used in Medical care. Watch the 29 mg Difference for Adenosine Units Another noteworthy change for cardiology coders is the deletion of J0152 (Injection, adenosine for diagnostic use, 30 mg [not to be used to report any adenosine phosphate compounds; instead use A9270]). HCPCS code J0153 refers to the billing code used for the pharmacologic agent adenosine, a drug administered via injection. com Pub. May 20, 2005 · Answer: You should report three units of J0152 (Injection, adenosine for diagnostic use, 30 mg [not to be used to report any adenosine phosphate compounds; instead use A9270]). Healthcare Common Procedure Coding System Code: J0152. 27% J0280 Aminophyllin up to 250 MG, inj. A9555 Rb82 Rubidium, Diagnostic, Per Study, Up To 60 mCi’s* A9526 Nitrogen N-13 Ammonia, Diagnostic, Per Study Dose, Up To 40 mCi’s* J0152 Adenosine injection, per 30 mg, (Note: typical dose is 58 to 70 mg, therefore 2 to 3 units) J1245 Dipyridamole injection, per 10mg (Note: typical dose is 40 to 60 mg, therefore 4 to 6 units) J2785 Addendum A – Single Drug Category ListAddendum B--New Drugs for CAP Bidding for 2006 Common Name: Adenosine Injection Technical/Medical Term: Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) (J0153) Summary Adenosine injection is a medical procedure where a specific dose of adenosine is administered intravenously to help treat certain types of irregular heartbeats, known as arrhythmias. 40 Deleted J0280 Aminophyllin up to 250 MG, inj. Typically, local Medicare carriers pay only a "pass-through charge" for such medications. Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270) This is the 2011 version of HCPCS J0152 - please refer to the 2016 HCPCS code set for the latest version. Jan 1, 2014 · Need more information about J0152? Get access to fees, crosswalks, billing policies, similar codes and much more. HCPCS Code J0150 for Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270). A drug is given to make the heart respond as if the person were exercising. All submitted claims after January 1, 2006, should be processed and paid except for those claims that include one or more listed HCPCS codes (with status indicator G or K) on the 1/1/2019 1/1/2019 1/1/2019 1/1/2015 1/1/2015 1/1/2015 1/1/2019 1/1/2016 1/1/2016 1/1/2016 1/1/2019 1/1/2019 1/1/2019 1/1/2019 1/1/2019 1/1/2019 1/1/2019 10/1/2019 10 Free 2007 HCPCS J Codes J0120 Injection, tetracycline, up to 250 mg J0128 Injection, abarelix, 10 mg J0129 Injection, abatacept, 10 mg J0130 Injection abciximab, 10 mg J0132 Injection, acetylcysteine, 100 mg J0133 Injection, acyclovir, 5 mg J0135 Injection, adalimumab, 20 mg J0150 Injection, adenosine for therapeutic use, 6 mg (not to be used to report a J0152 Injection, adenosine for Drugs_and_Biologicals_1-1-11. N N Packaged into APC rate Drugs_and_Biologicals_Fee_Schedule_1-1-10 J0152 Adenosine injection, 30 mg Injection Adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds, instead use A9270) ADENOSCAN 0917 0917 K K $84. May 9, 2013 · CMS has posted a preliminary decision to discontinue current code J0152 (Injection, adenosine for diagnostic use, 30 mg [not to be used to report any adenosine phosphate compounds; instead use A9270]). HCPCS Code: J0152. The only difference between the now obsolete J0151 and the new J0152 is the dosage. E $0. Specifically, this code designates a dose of up to 1 milligram of adenosine that is supplied and administered for therapeutic or diagnostic purposes. Free 2011 HCPCS J Codes J0120 Injection, tetracycline, up to 250 mg J0129 Injection, abatacept, 10 mg J0130 Injection abciximab, 10 mg J0132 Injection, acetylcysteine, 100 mg J0133 Injection, acyclovir, 5 mg J0135 Injection, adalimumab, 20 mg J0150 Injection, adenosine for therapeutic use, 6 mg (not to be used to report a J0152 Injection, adenosine for diagnostic use, 30 mg (not to be used Use our billing code lookup to find icd 10 procedure codes and HCPCS level 2 procedure codes for medical billing and coding The NDC quantity you submit will be based on the actual drug administered. 00 Not Listed On Website contact carrier directly J0280 Aminophyllin, up to 250mg $0. 50 J0152 Adenosine injection, 30 mg Injection Adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds, instead use A9270) ADENOSCAN E $68. 21 $89. xls Golimumab for iv use 1mg Inj, Taliglucerace Alfa 10 u Zoledronic Acid 1mg Skyla 13. Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270) This is the 2008 version of HCPCS J0152 - please refer to the 2016 HCPCS code set for the latest version. 30$ J0280 Aminophyllin up to 250 MG, inj. 20), but CMS has since clarified the RAC will only target J0152. Oct 1, 2010 · List the appropriate HCPCS code for the pharmacologic stress agent such as J1245 dipyridamole, J0152 adenosine, J1250 dobutamine, or J2785 regadenoson in addition to the imaging CPT code (93015-93018) when the nuclear medicine test includes exercise/pharmacological stress. HCPCS Code Short Name: Adenosine injection. Payment Allowance Limits for Medicare Part B Drugs Effective Notes. 3 mg Atropen E $0. The reason for the denial is one servie per day. Injection procedure; radioactive tracer for identification of sentinel node J0152 Adenosine injection, 30 mg Injection Adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds, instead use A9270) ADENOSCAN 0917 0917 K K $94. 01 mg N N Packaged into J0152 Adenosine injection, 30 mg Injection Adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds, instead use A9270) ADENOSCAN Deleted, See J0151 0917 Deleted K D $109. HCPCS - Medical CodesCPT Changes Current book and archives back to 2000 Easy-to-read online book format Linked to and from code details B. 50 A9555 Rb82 Rubidium, Diagnostic, Per Study, Up To 60 mCi’s* A9526 Nitrogen N-13 Ammonia, Diagnostic, Per Study Dose, Up To 40 mCi’s* J0152 Adenosine injection, per 30 mg, (Note: typical dose is 58 to 70 mg, therefore 2 to 3 units) J1245 Dipyridamole injection, per 10mg (Note: typical dose is 40 to 60 mg, therefore 4 to 6 units) J2785 PAD/NDC Monthly List | September 2025 Apr 27, 2008 · Supply codes for specific pharmacologic agents, found in HCPCS, include: • J0152 -- Injection, adenosine for diagnostic use, 30 mg • J1245--- Injection, dipyridamole, per 10 mg (also called Persantine) • J1250--- Injection, dobutamine HCI, per 250 mg. 42 $105. Medicare also specifies that your practice can bill for the amount of drug discarded after the physician performs the test. xls Hep b vaccine, adult, im carrier directly J0151 Injection, adenosine, 90 mg (not to be used to report any adenosine phosphate compounds; instead use A9270) Not Listed On Website contact carrier directly Not Listed On Website contact carrier directly J0152 Adenosine injection, 30 mg $70. 6 - Inherent Reasonableness for Drugs and Biologicals 20. Feb 12, 2015 · HCPCS introduced J0151 in 2014 to replace J0152 (Injection, adenosine for diagnostic use, 30 mg [not to be used to report any adenosine phosphate compounds; instead use A9270]). Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use A9270) n Use this code for Adenocard. Subscribe to Codify by AAPC and get the code details in a flash. Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270) This is the 2009 version of HCPCS J0152 - please refer to the 2016 HCPCS code set for the latest version. Adenosine injection, 30 mg J0152 2. J1250 Dobutamine HCl injection, per 250 mg. Use our billing code lookup to find icd 10 procedure codes and HCPCS level 2 procedure codes for medical billing and coding Department of Health Care Services Healthcare Common Procedure Coding System List Each HCPCS code in this list must be accompanied by a valid NDC in the LIN03 segment of the HIPAA 837 transaction when submitted for encounters/claims for Blue Shield of California Promise Health Plan members. 99 6. J0150 Injection, adenosine for therapeutic use, 6 mg (not to be used to report a J0152 Injection, adenosine for diagnostic use, 30 mg (not to be used to report an Use our billing code lookup to find icd 10 procedure codes and HCPCS level 2 procedure codes for medical billing and coding J code examples of medications that may be utilized with cardiac stress testing include but are not limited to: J0152, Injection, adenosine for diagnostic use, 30 mg, J1245, Injection, dipyridamole, per 10 mg and J1250, Injection, dobutamine hydrochloride, per 250 mg. 01mg Injection, Pertuzumab, 1 mg Inj, Ado-trastuzumab Emt 1mg Inj, vincristine sul lip 1mg Inj, ziv-aflibercept, 1mg TLSO flex trnk sj-t9 pre ots TLSO Feb 20, 2007 · For example, if your cardiologist only administers 20 mg of Adenosine, you should still report J0152 (Injection, adenosine for diagnostic use, 30 mg). Correction: A Jan. 8 – Injections Furnished to ESRD Beneficiaries 30 - Carrier Distribution of Limit Amounts 40 - Discarded Drugs and Biologicals 50 - Assignment Required for Drugs and Biologicals Department of Health Care Services Healthcare Common Procedure Coding System List Each HCPCS code in this list must be accompanied by a valid NDC in the LIN03 segment of the HIPAA 837 transaction when submitted for encounters/claims for Blue Shield of California Promise Health Plan members. HCPCS Code Description: Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270) Study with Quizlet and memorize flashcards containing terms like J1460, J1470, J9999 and more. 57$ J0151 Adenosine injection, 90 mg Deleted in 2005 Deleted 2006 J0152 Adenosine injection, 30 mg Injection Adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds, instead use A9270) ADENOCARD® N/A E 70. N N Packaged into APC Packaged into APC rate J0461 Inj, atropine sulfate, 0. 5 - Restrictions 20. 100-04 Medicare Claims Processing Transmittal 55 Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) carrier directly J0151 Injection, adenosine, 90 mg (not to be used to report any adenosine phosphate compounds; instead use A9270) Not Listed On Website contact carrier directly Not Listed On Website contact carrier directly J0152 Adenosine injection, 30 mg $70. HCPCS Code for Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) J0153 HCPCS code J0153 for Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) as maintained by CMS falls under Drugs, Administered by Injection . com CPT Code 90371 describes the intramuscular use of human Hepatitis B immune globulin (HBIg). 325 J1120 Acetazolamide sodium injection, up to 500 mg Part B Physician/Supplier National Data - CY 2005 Top 200 Level 11 Healthcare Common Procedure Coding System (HCPCS/Alpha-Numeric) Codes HCPCS Code for Injection, dipyridamole, per 10 mg J1245 HCPCS code J1245 for Injection, dipyridamole, per 10 mg as maintained by CMS falls under Drugs, Administered by Injection . Example: Adenosine injection (Adenoscan® 3mg/ml) HCPCS Code = J0152 HCPCS Units = 30mg NDC Unit of Measure = ML 10ml @ 3mg/ml = 30mg Adenoscan® 30mg is NDC quantity 10 NDC Billing Reference for Nevada Medicaid and Nevada Check Up Claims Updated 10/10/2022 (pv02/25/ • Dobutamine, Dipyridamole, or Adenosine Stress Test is used in people who are unable to exercise. J0152 INJECTION, ADENOSINE FOR DIAGNOSTIC USE, 30 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS; INSTEAD USE A9270) ⇄ 51927-2116-00 ADENOSINE Detail Information Relationship Start Date 1/1/2004 Relationship End Date 12/31/2013 Number Of Items In Ndc Package 1 Ndc Package Measure EA Ndc Package Type BO Route Of Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270) May 21, 2004 · Instead, most carriers, such as HGSA, a Part B carrier in Pennsylvania, recommend that you use the new HCPCS code J0152 (Injection, adenosine, 30 mg [not to be used to report any adenosine phosphate ompounds; instead use A9270]) for Adenoscan injections. 92). 1mg Injection, Carfilzomib, 1 mg Inj, Omacetaxine Mep, 0. tagn ipqcii pena1o un pvka0 anvow rhm wxoil mjdx4n rhoc