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LT/RT on J1020 and J1030 – Depo-Medrol

Hi there,
We are hearing from one of our offices that they are billing the J1020 and J1030 with the LT and RT modifiers. Does anyone else do this? I’d like to recommend that these modifiers should only be appended to the actual injection procedure (for example, the 20610). I’m curious to know how others are billing this.

Thanks,
Cheryl

Medical Billing and Coding Forum

J1030 & j1040

Hello,
I received two denials for different patients (same insurance). One is J1030 and the other is J1040. The reason says: "Procedure considered part of basic service performed/incidental or bundeled". One of my coworkers called for one of them and the representatives I guess said that the code isn’t a Medicare approved code and it’s a non covered benefit?? I’m most likely going to have to call, I’m sure, but if this is true… this is news to me. Has anyone else heard this??? Or can anyone give me their thoughts???

thank you

Medical Billing and Coding