injection

  1. B

    Wiki orthopedic surgery

    I have a new client who still thinks we can use pre 2015 cpt codes. I have explained that a lot of the codes have been bundled and he wants to unbundle them anyway. Could you help in coding the procedures below? 1-caudal epidural steroid injection 2-lumbar sine epidurogram 3-left sacroiliac...
  2. S

    Wiki lavage of calcific tendinosis - shoulder

    One of my doctors performed a ultrasound guided lavage of calcific tendinosis on the left supraspinatus tendon followed by a subacromial/subdeltoid bursa injection. I am having trouble coming up with a good CPT for the calcific lavage on the shoulder. Do I default to 20611 for the shoulder bursa...
    • sarthur
    • Thread
    • bursa calcific injection lavage shoulder
    • Replies: 0
    • Forum: Anesthesia
  3. A

    Trigger Point at Bedside

    Patient was supposed to go to surgery for a lipoma removal and a shoulder trigger point injection. The patient never made it to surgery and while in holding they did the trigger point injection. I know we cannot charge OR charges but can we still charge for the injection?
  4. L

    Wiki Modifier XS

    Should we be using modifier XS when an outpatient is receiving--for example--and IVP and also IM/SQ injection(s)? Should it be used on the injection(s) and each injection on a separate line?
    • ljohns31
    • Thread
    • injection injections line modifier separate
    • Replies: 2
    • Forum: Modifiers
  5. R

    Wiki Sacroiliac joint injection WITH ULTRASOUND GUIDANCE

    How would you post a sacroiliac joint injection WITH ULTRASOUND GUIDANCE. This was a joint injection using ultrasound guidance, and is documented. Our physician does ultrasound guided injections in an office setting. Comments would be greatly appreciated.
    • rlewis3504
    • Thread
    • guidance injection joint sacroiliac ultrasound
    • Replies: 8
    • Forum: Orthopaedics
  6. P

    Wiki SI joint injection using ultrasound

    Can anyone tell me if we are to use G0260 if the SI joint injection is using ultrasound for outpatient facilities and ASC? I understand physicians use 20611 but I can not find anything about the hospitals and ASC's.
  7. C

    Wiki Testosterone Suspension Injection HCPCS

    Does anyone know what happened to the testosterone suspension injection codes in HCPCS. Is this drug not used anymore? I can't find a new code for this and all of the testosterone codes I have found are 1mg.
  8. C

    Wiki Methylprednisolone injections for tracheal stenosis during bronchoscopy

    Our provider performed a bronchoscopy which included balloon dilation of the trachea as well as injections of Methylprednisolone to the upper trachea. I have been unable to find a code for the injections during the bronchoscopy. Would this be included in the balloon dilation or is there a...
  9. T

    Wiki Prp injection and ov

    I have a doctor who wants to charge an ov with a PRP injection. The PRP injection was cash pay. Can you still charge the ov with knowing the patient is coming in for the PRP???
    • trose45116
    • Thread
    • charge injection knowing patient prp
    • Replies: 5
    • Forum: E/M
  10. L

    Wiki Modifiers

    I work in a family practice and I often have it where the provider does cryo on a wart, and also an injection for an immunization. Would there need to have -59 or -51? These always confuse me and I'm getting different feedback from everyone. Thanks!
  11. J

    Wiki 53 modifier after needle placement for facet injections

    If a patient was prepped to receive facet injections, and upon the first needle placement, requested the procedure be discontinued due to her pain, would a 53 modifier be appropriate? The physician documented "Procedure aborted after single needle placed corresponding to L5 dorsal ramus at...
  12. S

    Wiki 96372 Injection

    We have a patient with this request: Dilaudid as 1 injection (Site: L upper arm), Promethazine as 1 injection (Site: L hip), Toradol, dexamethasone, and Diphenhydramine as 1 mixed injection (Site: R hip) Normally, the doctor would mix all of the above medications and give 1 injection into the...
  13. V

    Wiki SPG block using Sphenocath

    Has anybody had any experience with coding for administration of lidocaine through a sphenocath for treatment of headaches. It has been suggested to use 64505 which is an injection of the sphenopalatine ganglion. However, it appears that Lidocaine is pushed through the cath and absorbed...
    • vkratzer
    • Thread
    • ganglion injection lidocaine sphenocath sphenopalatine
    • Replies: 4
    • Forum: Anesthesia
  14. D

    Wiki Injections and PA or Dr to be rendering

    If Dr. A sees a patient and does the H&P and X-rays and all of the office visit portion and leaves the room then his credentialed Physician Assistant goes in alone and gives the patient an injection in her knee. Dr A’s documentation is for the OV portion and PA’s documentation is for the...
    • DAV829
    • Thread
    • billed documentation injection patient portion
    • Replies: 1
    • Forum: Orthopaedics
  15. M

    Wiki Lupron Injection admin

    Lupron Injection for endometrosis amin 96372 or 96402?
    • michellelopez
    • Thread
    • 96372 96402 endometrosis injection lupron
    • Replies: 4
    • Forum: OB/GYN
  16. T

    Wiki Injections with no provider on site

    Hi there! Can an RN, LPN, CMA or RMA give an injection (Haldol, Abilify, Risperdal, Invega Sustenna) without a supervising physician on site at the time of the injection? If yes, please give me a resource that I can give to our clinical team that supports it. CPT states "Do not report 96372...
  17. T

    Wiki injection only to be billed out?

    I don't see anything coming out to be able to bill the E/M with the injection. any thoughts?? I am still trying to understand and learn the E/M. its fairly new to me. 1. Right knee pain. HPI: Appointment type: Established patient - Established problem Patient returns for his right...
    • trose45116
    • Thread
    • examination history injection knee patient
    • Replies: 3
    • Forum: E/M
  18. K

    Wiki Rhogam Injection Diagnosis code

    What is the ICD 10 diagnosis code for Prophylatic Rhogam injection. Cross walk for V07.2 is Z41.8. I don't feel comfrotable to use this code. Thank you.
    • kumeena
    • Thread
    • code comfrotable diagnosis injection rhogam
    • Replies: 2
    • Forum: OB/GYN
  19. B

    Wiki Tongue and Gum Pain Injections?

    Medicare patient came in with burning mouth syndrome and pain provider did a pain injection in both the tongue and gum. Has anyone ever coded for this before? Could you offer any advice? Thanks in advance!
  20. B

    Wiki CPT Code for hypoglossal nerve injection?

    Does anyone know which CPT to use for a hypoglossal nerve injection? It was done by a Pain doc. Thanks!
  21. B

    Wiki Trigger Point injections

    Good Morning! Can anyone tell me whether or not you can report the HCPCS injection code in addition to the trigger point injection codes (20600, 20610, 20552)? I know that you can't bill for the lidocaine, but we also in many cases inject depo medrol and wondered if we could be billing for that...
  22. T

    Wiki can we charge office visit with the injection???

    can we charge the office visit with the injection?? please any help appreciated. Chief Complaints: 1. Bilateral hip. HPI: Appointment type: Established patient - Established problem Patient returns for the MRI results of both hips. She denies any other complaints ...
  23. H

    Wiki nuclear - missing anything

    in the office I use 78452 A9500 *2 93015 and add J2785 *4 if its INJECTION REGADENOSON 0.1 MG am I missing anything thanks
    • heart123
    • Thread
    • 0.1 add injection missing regadenoson
    • Replies: 3
    • Forum: Cardiology
  24. R

    Wiki billing E/M level instead of injection

    I have a Dr. who has a question about billing just for his E/M level vist and not for the injection that he gave the patient due to it probabaly being denied. Is this kosher. I am under the impression that you cannot just do this? Any feed back would be appreciated.
  25. K

    Wiki E/M with a 25 when doing an injection?

    Hello, I am fairly new to orthopedic coding and our docs do a lot of injections! I am struggling with when it is okay to bill an office visit with the 25 modifier. The guidelines that I was told to go by was that we always bill a new patient (99202-99204) with the 25 when an injection is...
    • Katie_Ellis
    • Thread
    • 25 modifier bill established patient injection office visit
    • Replies: 2
    • Forum: E/M
  26. G

    IV Infusions

    A patient is given Zofran push, documentation says given and injection time is charted would we not charge for push.
  27. M

    Wiki HELP PCP keeps doing Trigger Point Injections and feels ORTHO codes same way

    Will someone who codes ortho please help me... I'm in serious need of direction for steroid injections that are given in the office. One of the PCP continues to give injections that fall under trigger point injection rules and doesn't understand that he must document the muscle group where...
  28. L

    Wiki Ultrasound Guided Injections

    Hello, Doctor did an Ultrasound in the office to see what was going on with the shoulder Then he did an ultrasound guided injection into the tendon sheath. How would I code this? 76942 20550 - LT (Injection tendon sheath) J1030 - 40 mg Depo Medrol Or would I use 76881 with the above...
    • LLRodgers
    • Thread
    • guided injection injections sheath ultrasound
    • Replies: 4
    • Forum: Orthopaedics
  29. G

    Wiki E & M injections only

    Patient comes in for an injection performed by the nurse are we able to bill 99211
  30. T

    Wiki Coding

    Can you bill together 20610 with 20611 or do you just bill 20611 alone to state an ultrasound was used for the injection?
  31. L

    Wiki SI Region Injection

    Hello, The patient was being seen for left knee and indicated that he was having a lot of pain into the left leg from the inguinal region into the SI joint and down the left leg and into the thigh. I have a report that reads that the Patient had an injection into the left SI region, 80 mg of...
  32. A

    Wiki Status post epidural lumbar injection

    Im trying to find the ICD 10 code ..it is pertinent because the patient presents to ED with headaches 1 week after the injection...any suggestions?
    • avon4117
    • Thread
    • headaches injection patient suggestions week
    • Replies: 3
    • Forum: ICD-10
  33. D

    Wiki Injections-someone can help

    I hope someone can help. I have a patient who will be having a hip injection in a surgery center. Dr. told this patient that since he will be doing the hip, he will also just give him his first set of Euflexxa injections in the knee. If the surgery center will allow us to bring the...
    • DBARON
    • Thread
    • center hip injection injections surgery
    • Replies: 1
    • Forum: Orthopaedics
  34. L

    Wiki Modifier 79-Osteoarthritis

    Hello, Can anyone tell me if I have a fractured toe (still in global period) but the patient comes in for a bilateral routine knee injections do I put the modifier 79 on both injection codes or just one. Ex: M17.0 - B/L Osteoarthritis 20610 RT - 79 20610 - LT - 79 of do you only...
    • LLRodgers
    • Thread
    • 20610 codes injection modifier osteoarthritis
    • Replies: 2
    • Forum: Orthopaedics
  35. J

    Wiki 64721 with 64450

    can we code 64721 carpal tunnel release along with 64450, median nerve block injection? we keep getting denials on this. please advise. thanks!
  36. N

    Wiki Infusion & Injection 99366 & 99367

    Infusion & Injection 96366 & 96367 Hello I am new to infusion and injection coding. I have been finding resource with examples to code; however, I am having issues with the 96366 and 96367 and when to use which one. My understanding is use 99367 when it is a new substance and 99366 when it is...
  37. O

    Wiki New Job, Please Help

    Hello.. PLEASE RESPOND if you can help. Our docs are doing Platelet Rich Plasma injections for epicondylitis, etc.. I know (from reading posts here) that there has been a Cat. III code for this (0232T) effective since July 2010 and that we've been advised to discontinue using the unlisted...
  38. S

    Wiki Accidental Epi Injection

    Hi All, We've come across this a bunch and would like to know what others do in these cases: PT comes in having stuck their thumb accidentally with an EpiPen while showing someone else how to use one. They're complaining of numbness in their thumb and say "it is turning white". The provider...
  39. C

    Wiki 64614 coding help needed

    This code for chemodenervation is used when giving Botox for dx such as contractures. When this is given to all limbs, my interpretation of the CPT is that this can only be billed for a quantity of 1, since the description includes muscle(s). Is that your interpretation, too? Also, the...
  40. D

    Wiki Off Label use of Drug and billing patient

    I would appreciate anyones help who can direct me to the page on Medicare's website that states something like this. When a drug is used for a non approved off lablel diagnosis, we will not pay for the DRUG OR ADMINISTRATION of the drug. I had this before and this question is rearing its ugly...
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