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Old 11-10-2009, 11:46 AM
renee868 renee868 is offline
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Default J code for lidocaine?

One of our breast doctors is questioning whether or not she can bill for the lidocaine injection while performing a breast biopsy in the office by using the code J2001. A colleague of hers has told her that he bills for this. The code says lidocaine IV infusion? I have always thought that the injection of local anesthetic was included in the surgical procedure, as are surgical trays? Can anyone give me some guidance on this before we go ahead and tell her what our thought is on this. Thanks!!
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Old 11-10-2009, 01:18 PM
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mitchellde mitchellde is offline
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You may not bill for an injection of Lidocaine to make the patient more comfortable. That J code is for IV infusions which is sometimes done for pain control, which is very different from a comfort measure. I have run across other offices that have used that J code and been paid and then refunds and interest and penalties were collected in the aftermath.
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Old 11-10-2009, 02:14 PM
renee868 renee868 is offline
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thank you. That is what I had told her, but wanted to be sure that I was not missing something here. I appreciate your quick response and help!!
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Old 11-10-2009, 03:14 PM
Lisa Bledsoe Lisa Bledsoe is offline
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Not to mention that the surgical guidelines state that local infiltration is inclusive to the procedures.
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Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

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