Wiki Medication conversion

[stlbill511]

I am new to coding out the drugs used for injections. I need help trying to convert the cc's to ml and mg's. The doctor does an SI joint injection 27096 and uses Marcaine 0.25% 4.5 and Lidocaine 1% 3 and Depo 40 mg 40.

I know the Depo is J1040 at 1 unit. I think the Lidocaine would be J2001 at 300 units? and I'm not sure about the Marcaine. Could someone help please? I know Medicare does not reimburse for Marcaine with the S code so we cannot bill to Medicare.

Thanks

 

[mitchellde]

You cannot bill the lidocaine either as that is for IV use. To convert just go to the Internet and look up a conversion table then do the math

 

[stlbill511]

Thanks. Do any of the commercial carriers pay for the Marcaine? Can we bill the needles or syringes? Or is that bundled into the procedure too.

Thanks

 

[johnmeyer]

To my knowledge, you can only bill out the Depo. Everything else is either unbillable or bundled.