Our urogynecology office does bladder instillations frequently, & always bills Heparin. I just want to make sure we are billing them correctly. I discovered recently that we are incorrectly billing the units of HEPARIN. Chart states 40,000 units, we’ve been billing 1. Yikes!

Here is how we code the instillations –

51700
81003-59
J1644 1 unit (Heparin)
J2001-59 1 unit (lidocaine)
A4550 (sterile tray)

With this newly found error in units for Heparin – we are trying to figure out the new "cost" for J1644. Right now 1 unit is $ 14. Where can I find this info? Because if I code Heparin properly, that would be 40 units (40 X 1,000 = 40,000 units)….which will DOUBLE the cost of the instillation – that doesn’t seem right? The office is not being very helpful in finding this info. out – they claim it is included in the cost of the tray? But Mediare denies the tray’s so then they get $ 0.00 ?

Any help anyone can offer would be GREAT! Thanks.