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Joint Injections

  1. #11
    Default
    Medical Coding Books
    A simple way to possibly remember for the knee injections is that if they came in and it was not determined prior to the visit that an injection was to be done you could bill the E/M (if provided and significant). If the patient is coming in for an established treatment plan of injections you would not bill an E/M unless the patient encountered additional problems etc.

    does this help?
    Rhonda Buckholtz, CPC, CPC-I, CGSC, COBGC, CEPDC, CENTC
    Vice President, ICD-10
    AAPC
    800-626-2633 ext 183
    814-673-7177
    Fax: 814-217-0447
    rhonda.buckholtz@aapc.com

  2. Red face Injection with E/M- Orthopedics
    Thank you very much! This information has helped me to understand this more clearly.

  3. #13
    Location
    North Carolina
    Posts
    3,126
    Default
    This was taken directly from Medicare's website:

    If the diagnosis referenced for the E&M service and the procedure are the same it would be expected that the diagnosis is for a new sign or symptom and not related to signs or symptoms treated in the recent past. For example, an established patient has been treated for fibrositis eight months ago and now returns with a sore area in the upper back. The physician evaluates the patient and decides that the painful area represents a new trigger point, and should be injected with a steroid and the injection is given. The decision to treat the new sign or symptom can not be made until the evaluation is completed and thus the -25 modifier should be placed on the E&M service

    http://www.cignagovernmentservices.c...0105nc08a.html

    Rebecca

  4. #14
    Default
    are there anymore legit links with regards to this topic? i can't find it anywhere else. something more up to date? thanks.

  5. #15
    Default Two joints injected
    We performed a fluoroscopic guided injection of two joints in the foot, talonavicular joint and navicular cuneform joint with 40 mg of Kenalog.....is is to correct to bill

    20605 x 2
    77002
    j3301 x 4

  6. Default Administration for the Injections
    Do i have to bill 96372 for the Injections?

  7. #17
    Location
    Columbia, MO
    Posts
    12,531
    Default
    For a Joint injection??? Never, 96372 is for administration of IM or SQ, 20600-20610 is administration of joint injections

    Debra A. Mitchell, MSPH, CPC-H

  8. Default Administrations for the Drugs
    What about the administration for the J3301 , J2001? Can i bill 96372 as the administrations for those codes? We are billing the 20610 but before performing the service we have to put those injections and i want to know if i bill the 96372. Also if there are 2 drugs injected how many units do i use for the administration?

    Example: 99205 ,96372 ( How many units? ), J7799 ,J2001, J3301 ,99070 and 20610.

    Thanks.

  9. #19
    Location
    North Carolina
    Posts
    3,126
    Default
    Couple of issues I can quickly identify... J2001. This is not billable. The method of administration is through IV not through a shot. Another possible issue...99205. This requires a comprehensive history and exam and medical decision making of high complexity. Were there other issues/problems addressed during this visit other than the need for a "joint injection"?

  10. Default Correct process
    It looks like it is for the evaluation before doing the 20610. Just to be clear one more time. I don´t have to bill 9372 because J injections are given through IV. Please clarify.

    Thanks

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