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Coding for cortisone injections?

  1. #11
    Greeley, Colorado
    Medical Coding Books
    Quote Originally Posted by mksmith713 View Post
    Crap, I forgot the Lidocaine and Marcaine....
    That costs too..

    Are we seeing anything concernig or parhaps even alarming here?

    OK, beisde my beancounting?
    FYI - you can't code/charge for lidocaine and marcaine.
    Lisa Bledsoe, CPC, CPMA

  2. Default
    Quote Originally Posted by DaisyAnn View Post
    I'm not sure about your math logic. I've just always billed J3301x4 units for Kenalog 40mg and J3301x8 for Kenalog 80mg. Since it's per 10mg.
    I also bill out an injection code with the supply. I just assumed you do too. Not just the supply alone. For the injection code we usually use 20610 or 20551.
    I think the math is correct.
    If I inject 1 cc of Kenalog 40, the code would be J3301 x 4
    If I inject 2cc of Kenalog 40, the code will be J3301 x 8

    Is this how you'd code it?

  3. Default
    Quote Originally Posted by mksmith713 View Post
    I think the math is correct.
    If I inject 1 cc of Kenalog 40, the code would be J3301 x 4
    If I inject 2cc of Kenalog 40, the code will be J3301 x 8

    Is this how you'd code it?

    Yes, that is correct. Kenalog 40 (J3301x4), Kenalog 80 (J3301x8). We just say Kenalog 80mg instead of 2cc Kenalog 40mg.
    I'm sorry, your logics were just confusing to me. I hope you are clear now.
    Have a great day!!

  4. Default
    The thing with saying Kenalog 80 is that it's not even close to being accurate.
    The designation Kenalog 10 or 40 is derived from the amount of steroid in mg/ ml in the solution.
    Kenalog 10 has 10mg per ml of cortical steroid in the solution.
    Kenalog 40 has 40mg per ml " " " " " .
    So calling it Kenalog 80 is inaccurate.
    It should be called 2cc of Kenalog 40.

    I guess, if it makes it easier for you to SAY it that way, please feel free to do so.

    I know, being too nitpicky....

  5. Default
    Oh, well that is how the plastic surgeons called it that I used to work for and now the ortho surgeon I work for call it Kenalog 80. So that is how I was taught. I never went by cc's.

  6. Default
    As long as J-3301x8 goes on the billing form, doesn't really matter.

  7. Default
    BTW, has anyone else checked their cost for supplies vs. what the payers are reimbursing?

    Is anyone else losing money?

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