AAPC - Back to school
Results 1 to 5 of 5

Thread: Injections/ J-Codes

  1. #1

    Default Injections/ J-Codes

    AAPC: Back to School
    Are Modifiers -RT and -LT required on all J-Codes? We are getting many rejections for this regarding especially SYNVISC. I thought that the modifier -rt or lt was stated in the procedure only....

  2. #2


    LT or RT should go on the procedure only. I looked up the synvisc code in encoderpro and there are no modifiers approved for this code. If you have a particular carrier that is rejecting these for not having modifiers on them, I would take it up with that carrier individually as some have their own requirments.

  3. #3
    Join Date
    Apr 2007
    Nassau Central New York


    The Rt/Lt modifiers must also be put on the drug codes. If you are billing synvisic,supartz,orthovsic not only do the RT/LT modifiers must be applied but an EJ modifer as well if this is the 2nd,3rd,4th etc... injection. This is policy in New York (downstate). You can find information on the insurance carriers website that you are billing for under their policies.

  4. #4
    Join Date
    Apr 2007
    Greeley, Colorado


    I don't use rt/lt on J codes for joint injections, just use units on one line item and have no issue getting paid for the units.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Join Date
    Apr 2007
    North Carolina


    Typically, we don't add RT/LT to our J code; however, Synvisc One does have this requirement...or so we're told. We're still researching the billing guidelines for this medication since we're in the process of administering it. So far, the carriers (for our locality) are requiring these modifiers.


Similar Threads

  1. J Codes & Dexamethasone injections
    By DarcillaO in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 12-17-2013, 10:21 AM
  2. J codes for Hyalgan Injections and modifiers
    By cwilson3333 in forum Orthopaedics
    Replies: 9
    Last Post: 06-03-2013, 04:44 PM
  3. CPT codes for injections
    By anseanair in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 12-15-2010, 07:20 PM
  4. Rules on Injections & E/M Codes please
    By abazcoder in forum Orthopaedics
    Replies: 3
    Last Post: 04-30-2009, 02:54 PM
  5. Hyaluronate Injections J-codes
    By LynnS.321 in forum Orthopaedics
    Replies: 2
    Last Post: 01-10-2008, 12:57 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.