Wiki OV with procedure and injection

[sriese]

I work with neurosurgeons. They do alot of procedures such as 62311, 20552, 64494 with 77002 and J3301 (kenalog usually 10 mg x 4) with an ov. Would I put a 25 modifier on the ov and 59 on the procedure. I'm not sure how to code these. Can I bill all three to medicare?

 

[mhstrauss]

I work with neurosurgeons. They do alot of procedures such as 62311, 20552, 64494 with 77002 and J3301 (kenalog usually 10 mg x 4) with an ov. Would I put a 25 modifier on the ov and 59 on the procedure. I'm not sure how to code these. Can I bill all three to medicare?

It really depends on the provider's documentation. Can you post an example?

 

[mitchellde]

You can bill an ov with procedures using just he 25 modifier, as long as the documentation supports this, as far as need a 59 on the procedures depends on whether 2 or more procedures are bundled which you will need to check on. If you have an ov and only 1 procedure then there is no need for the 59 modifier.