Hi everyone,
I am reviewing a bill received by a physician who performed nerve block injections and is billing with 62311, 77003, 96374. In addition to these codes the physician is also submitting a bill for several other codes which include 96360 (IV infusion, hyrdration) then a variety of different supply codes for ex: A4209 syringe w/ needles, A4520 Incontinence garment, A4216 Sterile water, A4930 gloves, A6219 Gauze. And a third bill for a series of medications such as: J1040 methylprednisolone, J2001 lidocaine, J2795 Ropivaccine, J2250 midazolam, &
J2405 ondansteron.
I was a bit overwhelmed when reviewing all of this information because it seemed to be that some of these charges were pretty basic and would appear to be included with the actual injection procedures (62311 & 96374).
I did refer to the surgery guidelines in the CPT manual and I did see where it states under Materials Supplied by Physician that supplies and materials provided by the physician over and above those usually included with the procedure(s) rendered are reported separately. So my question is how would I be able to determine what is considered over and above and what would be considered unbundling of charges that should be inlcuded in the price of the injection?
Any suggestions would be greatly appreciated!
Thanks,
I am reviewing a bill received by a physician who performed nerve block injections and is billing with 62311, 77003, 96374. In addition to these codes the physician is also submitting a bill for several other codes which include 96360 (IV infusion, hyrdration) then a variety of different supply codes for ex: A4209 syringe w/ needles, A4520 Incontinence garment, A4216 Sterile water, A4930 gloves, A6219 Gauze. And a third bill for a series of medications such as: J1040 methylprednisolone, J2001 lidocaine, J2795 Ropivaccine, J2250 midazolam, &
J2405 ondansteron.
I was a bit overwhelmed when reviewing all of this information because it seemed to be that some of these charges were pretty basic and would appear to be included with the actual injection procedures (62311 & 96374).
I did refer to the surgery guidelines in the CPT manual and I did see where it states under Materials Supplied by Physician that supplies and materials provided by the physician over and above those usually included with the procedure(s) rendered are reported separately. So my question is how would I be able to determine what is considered over and above and what would be considered unbundling of charges that should be inlcuded in the price of the injection?
Any suggestions would be greatly appreciated!
Thanks,