Coding For Multiple Injections

dballard2004

True Blue
Messages
1,169
Location
Overland Park, KS
Best answers
0
If a patient comes into the office and we administer multiple injections (example, Kenalog and B12) in the same encounter, how would this be coded?

Would we code this as:

90772 X 2
J3420
J3301

or

90772
J3420
90772-59 (separate procedure)
J3301

What if a patient comes in and we give multiple injections of the same drug (i.e., Xolair)?

Could we code this as:

90772
J2357
90772-76 (repeat procedure by physician)
J2357

or

90772 X 2
J2357

What is the correct way for both of these scenarios? Thanks.
 

dmaec

True Blue
Messages
1,133
Location
Hibbing, Minnesota
Best answers
0
It doesn't happen too often like that but it does happen, and when it does we code it with the 90772 / 90772.59 and haven't ever had any issues on the billing/processing side of things. (and we make sure out linking in done also)
 
Messages
214
Location
Martinsville, VA
Best answers
0
We administer multiple injections in the same encounter for a Medicare patient of ours and we code 90772 and 90772-59 without problems. (The patient brings their own medicine so we do not file a J code.) I'm not entirely sure about your second question as I have not encountered that scenario.

Hope this information helps!

Teresa Collins, CPC
 

ssteele

Contributor
Messages
20
Best answers
0
We are a family practice and give multiple injections frequently. For Medicare we code 90772, 90772-76 and then the med hcpcs. For any other company besides medicare, we bill 90772 with the number of units and then the med codes.
 

dballard2004

True Blue
Messages
1,169
Location
Overland Park, KS
Best answers
0
Thanks to everyone! If I understand correctly here.....We can code 90772-59 for multiple injections of different drugs, and code 90772-76 for multiple injections of the same drug? I am doing a training session with my providers and want to make sure that they have the correct info.
 
Last edited:

ssteele

Contributor
Messages
20
Best answers
0
Kevin, this is the way WPS, the medicare carrier for Iowa will pay for multiple injection codes. It started Jan 1, 2008.
 
Top