Kenalog and units when less than 10mg

dgerry

Networker
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Location
Albany, NY
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If a physician uses 5mg of Kenalog that is 1/2 a unit. Do we bill .5 units to the insurance company? The descriptor of J3301 says 10 mg - not up to 10mg. Thanks for your help!
 

jbrashear

Networker
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Location
Lynchburg, Virginia
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Usually injections come in pre-measured viles. When a patient receives 5mg, the other 5mg are discarded. You are entitled to reimbursement for 1 unit because 1 unit was "consumed" for the service.

Janice Brashear, CPC
 
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