Wiki Please help!!!! Ophthalmology injection

[jessey223]

Hi all im in need of some help I have three patients all of which received the
J9190 (Flurouracil) 5 F/U Injection but I have never billed this one before. I looked everywhere I could think of online and found nothing. I tried to look up for units, NDC etc but I could not find anything. Any help would be greatly appreciated.

Thanks

 

[dkeown]

According to one of my physicians, who asked for guidance from one of the coder trainers here, this is the way to code them:

"...researched the subconjunctival injections and they are billable as a staged procedure with the following guidance:

The patient is predisposed to inflammation and scarring, so the glaucoma surgeon plans to use 5-FU injections for the postop period. Code 68200 with the -58 modifier is used to show that these injections were a staged procedure. Use code J9190 to report the drug.

But to be considered "staged" the ophthalmologist must have determined before or during the procedure that the 5-FU injections would be necessary, (because of a predisposition to scarring) and indicated this in the patient's chart or op note."

We bill the number of units injected by the size of the product (we have 2: the 1 mL {1 Unit} amp & 50 mL vial {5 Units}).

Hope this helps.