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Joint Inj and J code

  1. #1
    Question Joint Inj and J code
    Medical Coding Books
    I have a family practice doc who billed 20610 with J3301. BCBS of SC is denying the J code as part of the injection. No office visit was coded with this visit. I know that BCBS of SC has paid this in the past, but has denied the last several this doc has done. I tried and appeal but original decision upheld. I can not find anything that states this should be bundled. I asked BCBS why this might be bundled, and was referred to an education specialist.

  2. Default
    We process thru BC of CT and our 20610, J3301 always get paid. Are you putting a RT/LT modifier on 20610 and attaching the DRG number for the J3301 on the HCFA?
    Ann Marie CPC
    Watertown, CT

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