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Outpatient multiple day Injections 96376

My question is related to multiple injection codes being billed on different DOS at POS 22 outpatient.

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??

Medical Billing and Coding Forum

Billing for injections given to home health nurse

My clinic has a patient who is on home health and hasn’t been seen in our office in some time. WE provided two Rocephin injections to the home health agency nurse to be given at home. Do we bill that to the home health facility so we are reimbursed by them or bill to insurance ?

Medical Billing and Coding Forum

Dictation requirements for intercostal nerve injections

I am in serious need of help! I am assisting with our Rheumatology clinic and even though I have a background in Ortho I am not too familiar with this procedure.
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

Medical Billing and Coding Forum

Multiple Injections during same office visit

I am trying to correctly file for multiple injections such as a Rocephin, Depomedrol, and Tordol. However, I am finding it impossible to get paid for the second and third injection administration fees. Can someone assist me in getting paid for this? Is this impossible?

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!

Medical Billing and Coding Forum

Othovisc Injections for Shoulder

The doctor wants to start giving Orthovisc injections to shoulder patient on same day as surgery at Hospital.
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

Medical Billing and Coding Forum