This specific J code for Lidocaine is only billable if the lidocain is given IV, any other route of administration is deemed for patient comfort and is not n=billable with a J code nor administration code. As far if this is a 99205, You need to evaluate the documentation to see of ti meets the criteia for a 99205 If so then you may bill the level with the 25 modifier with the 20610 for the administration and the j code for the kenalog. You just cannot bill for the lidocain as there is no code for it.