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Outpatient multiple day Injections 96376
My example is for the following:
DOS 11/22/17 CPT codes 96374. 96375
DOS 11/23/17 CPT codes 96376
Can they bill the 96376 on a different DOS without the initial billed code on the same date??
Facet injections
My Ortho DR is injecting cortisone WITHOUT IMAGING GUIDANCE into the facet joint in the spine. Its not muscle so I cannot use TRIGGER POINT and I cannot find a code that doesn’t have imaging guidance , please help me
Intralesional injections
Surgical code 11900 does not require Anesthesia based on 2018 Crosswalk is there another code to support the below example where Anesthesia was used??
DX: hand intralesional steroid PROCEDURE: Burn scar contracture of hand
11900 Injection, intralesional; Up to and including 7 lesions
injections
patient is providing medication we are just doing the injection.
common practice has always been to just bill for the injection but do i also bill the j code? this is for pulm office administering nucala, fasenra, and xolair
Billing for injections given to home health nurse
Steroid and visc injections
We also use M17.0 – M.17.9 diagnosis codes. We are getting rejected for experimental and do not understand why.
Any assistance would be greatly appreciated.
Dictation requirements for intercostal nerve injections
I requested clarification from the provider on this note:
NOTE: The procedure is an intercostal nerve block. The reason for the procedure is severe intercostal neuralgia and pain. The medication injected for each injection was 1 cc of 1% lidocaine mixed with 0.5 cc of triamcinalone acetonide ( 15mg/ml). This was only (1) injection with kenalog.
The patient also received 8 additional injections of 1% lidocaine only with no epi for a total of 9 injections.
*
Sedation medication: None
Complications: None
*
Technique: Consent was signed, time out was done to identify the target area with the patient. This was done by careful palpation. Tenderness was elicited over the intercostal nerve roots by palpation which caused reproducible pain. Then using a 27 gauge 1.5 inch Monject needle the nerve root was injected very carefully by gently advancing the needle on a 20 degree angle until it dipped just below the nerve. The area was then injected at multiple sites along the nerve dermatome.
He is wanting to bill out 64421 and I just asked what nerves he was injected and he told me to just bill it out as he has always done it this way?
I am not able to find anything that just says this is ok…
I would appreciate any help.
Thank you
Multiple Injections during same office visit
I am using modifier "25" for the OV and "59" for shot administration numbers 2 and 3. I don’t believe any of the "X" modifiers could be used instead of the "59" and I believe "76" would be inappropriate since the shots are in the same office visit. Any help would be appreciated. Thank you!
Othovisc Injections for Shoulder
Can these injections be given at the Hospital. They have always been done in the office.
We buy and bill the Orthovisc and of course charge for the injection [20610], which I imagine
I will need to add a modifier so it does not get denied or included in the surgical fee.
If anyone "out there" has billed these injections at the Hospital during a surgical procedure, would like to know
if they have had any problems with the billing.
Thank you
CW