Our clinic bills stem cell with injection code 20611, is this correct? I thought 20611 is only billable with medications like cortisone or hyluronic acid. Please help??
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Tag Archives: injection
Wiki Prp injection with injection 20611
I came across an account where the surgeon billed for a PRP injection and also for 20611 inj/aspiration but chart note does not indicate reason for 20611-injection. I was told by charge entry that provider bills for administering the prp injection and that 20611 is for the administration. Is there a code we can bill for administering a PRP injection? I know 20611 is not the correct code to use….??
Billing more than 2 units for B12 injection
Good Morning,
I work for a medical practice and we have a few patients that receive 2000mcg of B12. I am aware the Medicare only covers 1000mcg but is there a way to bill the claim to Medicare so they will cover 1000mcg and deny the other 1000mcg of B12. Our claims are not making it through to Medicare. I really appreciate the help!
This is how the the claims are billed to Medicare:
J3420/59
J3420/59
96372
96372
Facility Charge when performing an injection
New to Outpatient billing and facility charges. If a patient presents for an injection can we bill a facility charge along with the administration (96377) and the medication HCPCs? No E/M was done by physician or NP. What if an E/M was done?
Injection for ED w/Office Visit
Recently one of our physicians documented a planned injection for erectile dysfunction (54235) with an office visit for what he documented as an additional 20 minutes of counseling and education for the ED and medication use. Total time spent on the visit was a documented 30 minutes. Generally we only charge for the injection, as the session is planned, stays relatively short, and the patient provides the medication. Wondering if it is okay to also bill for the office visit to cover the extra time spent in counseling/education or if that is bundled into the injection code regardless of how much time was spent with the patient overall.
Psychiatric Injection CPT codes
Are there any CPT codes that can be used in a psychiatric outpatient office setting for injections? (Invega Sustenna, Suboxone, etc) Should HCPCS codes be included with this also?
Also, if a nurse is performing the injection is 99211 used alone?
Would insurances reimburse for an E/M with modifier -25 in addition to 96372 if a nurse is performing the injection? Is it required for a physician to be present?
Also, if blood is being drawn to be sent to an outside lab is it possible to be reimbursed for 36415 or is this considered inclusive of an E/M code? And can this be done by a nurse?
Are there any modifiers required for 36415 in this situation?
Medicare injection billing
I work for a practice in which the husband is a cardiologist and the wife is internal medicine. Can we bill Medicare for a nuclear stress test (contains two injection codes A9502 and J2785) and a flu shot(90686 and G0008) in the same day? The two doctors share the same tax ID number but each have different NPI number. Will the claim be denied? Will the payment be reduced. We are already applying modifier 51 to 93015 for the stress test)
Painful scar injection
Can anyone please help me with a code for an injection into painful scar tissue??? The patient had a CTR about 8 months ago and has come back with pain in the area of the incision. The doctor documented that he injected the "right incision scar". Any suggestions???
Coccyx Injection CPT Code
We billed a coccyx injection using CPT code 20610 and the insurance is denying it. Is the coccyx considered a major joint or is it a intermediate joint which should be billed with CPT code 20605?
Thanks for your help!
Pre Op Injection Administration
I am an auditor and have a hospital who wants to charge administration for Pre-Op IVP Versed (96374). I have explained that this would be considered part of the facility’s Global Surgical Package as anesthesia writes for the medication when they begin to prep their patient for the operating room. Can someone please give me guidance on this? It is written in the NCCI Process Manual that Anesthesia starts when the practitioner begins to prepare the patient for anesthesia services in the operating room or an equivalent area (pre-op). Jan 1 they started adding the charge for Pre-Op antibiotic administration (96365) also, but we explained to them that Pre Op antibiotics are part of the Global Surgical Package, and now this discussion has come about. I am telling them they may charge for Pre-Op Zofran as long as it is not integral to the surgery, but that Versed is part of the Anesthesia Process – regardless if they’re using General, Mac, or Moderate Sedation.
Thanks in advance for any response!