Eli's Rehab Report
Billing for Procaine Injections
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Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.
Question: The physiatrist in our office has recently begun treating one of her patients for scar fibrosis with procaine injections. The scar in question is about 12 inches long and required 24 injections. What is the best way to code for this procedure?
Beverly Gustafson
Albany, N.Y.
90782 therapeutic, prophylactic or diagnostic
injection (specify material injected);
subcutaneous or intramuscular
20550 injection, tendon sheath, ligament,
trigger points or ganglion cyst
20605 arthrocentesis, aspiration and/or
injection; intermediate joint, bursa or ganglion
cyst (e.g., wrist, elbow, ankle)
20610 arthrocentesis, aspiration and/or
injection; major joint, bursa or ganglion cyst
(e.g., shoulder, hip, knee joint)
There are other injection codes in CPT 2000, listed under the spine and spinal cord section of the Surgery/Nervous System heading.
The HCPCS code for the drug itself is HCPCS J2690 (procainamide HCl, up to 1 gram).
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