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Wiki Kenalog Billing

Georgiaderm1

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Can anyone offer some words of wisdom on coding for Kenalog injections J3301 - thank you
 
You'd code the injection based on the type/location, for example either IM 96372, or joint injection 20600-20610, or other injection, and then the J code based on the dosage given. Since the J code is for 10 mg you report the units necessary to report the dosage. For example, if you give 80 mg., you'd bill J3301 x 8 units.
 
Do you know if medicare pays for the Kenalog injections? I'm not sure what i'm doing incorrectly but all my claims with a kenalog code medicare is not processing. Help!!
 
Shayna - be sure your claims are being submitted with the NDC number. Also, J3301 is an "NOS" code so you should have a spot on the claim to add a desciptor for the specific drug, like "Kenalog 10mg." Hope that helps!
 
Thanks JREDLINE- I'm a little new at this. Which line on the HCFFA do i place the descriptor? I had the NDC # already. Your help is appreciated!!
 
How many units would this be?

Keloid, scar
Thickened, inflamed hypertrophic scar, irritated and scattered located on mid chest
Medical Decision Making: Keloid, scar , problem worse
POC: Recommendation is ILK see procedure note. May repeat in one month if symptoms persist., Keloid
injection - Intralesional Kenalog 10mg/cc mixed with 5-Flurouracil 50m/cc in 1 to 1 ratio into each lesion.
[Note: kenalog-10 50mg/5ml (NDC: 0003-0494-20),5-fluorouracil injection 50mg/ml (NDC: 63323-117-
10)], total of 12 keloids papules injected with 1.2cc
 
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