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Thread: J code for lidocaine?

  1. #1
    Join Date
    Apr 2007
    Location
    Hamden, CT
    Posts
    23

    Default J code for lidocaine?

    One of our breast doctors is questioning whether or not she can bill for the lidocaine injection while performing a breast biopsy in the office by using the code J2001. A colleague of hers has told her that he bills for this. The code says lidocaine IV infusion? I have always thought that the injection of local anesthetic was included in the surgical procedure, as are surgical trays? Can anyone give me some guidance on this before we go ahead and tell her what our thought is on this. Thanks!!

  2. #2
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,071

    Default

    You may not bill for an injection of Lidocaine to make the patient more comfortable. That J code is for IV infusions which is sometimes done for pain control, which is very different from a comfort measure. I have run across other offices that have used that J code and been paid and then refunds and interest and penalties were collected in the aftermath.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Location
    Hamden, CT
    Posts
    23

    Default

    thank you. That is what I had told her, but wanted to be sure that I was not missing something here. I appreciate your quick response and help!!
    Renee R. Antonetti

  4. #4
    Join Date
    Apr 2007
    Location
    Greeley, Colorado
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    Default

    Not to mention that the surgical guidelines state that local infiltration is inclusive to the procedures.
    Lisa Bledsoe, CPC, CPMA

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