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Synvisc injection help!!!

  1. #1
    Default Synvisc injection help!!!
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    Dr. injected 2 cc Synvisc injection to patient. Per description code J7325
    Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg. Any sugestion on how to bill this. Thanks all on advance for your help and support.
    Mildred Nieves, CPC

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    We were instructed by our Synvisc rep to bill Synvisc with 16 units and Synvisc One with 48 units. Both use J7325.

    Lee Ann Leopard, CPC

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    J3725 will only get you reimbursement for the Synvisc. You should also code the appropriate joint injection code 20600-20610 for the procedure itself. Your provider should make sure and include a short procedure note in his/her documentation

  4. #4
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    Quote Originally Posted by lleopard View Post
    We were instructed by our Synvisc rep to bill Synvisc with 16 units and Synvisc One with 48 units. Both use J7325.

    Lee Ann Leopard, CPC
    How many mg(s) are you giving to the patient ?

    Yoli

  5. #5
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    Quote Originally Posted by NIEVESM View Post
    Dr. injected 2 cc Synvisc injection to patient. Per description code J7325
    Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg. Any sugestion on how to bill this. Thanks all on advance for your help and support.
    How many mg (s) did the patient receive ? The dosage needs to be documented in mg(s) by the physician.

    Yoli
    Last edited by Yoli; 03-01-2010 at 07:29 PM. Reason: mis-spelling

  6. #6
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    Thanks for your help.

    Quote Originally Posted by lleopard View Post
    We were instructed by our Synvisc rep to bill Synvisc with 16 units and Synvisc One with 48 units. Both use J7325.

    Lee Ann Leopard, CPC
    Mildred Nieves, CPC

  7. #7
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    Dr. does not mentioned mg, he only state I injected the rt knee with 2 cc Synvisc and charged 328.00 the injection cost I believe is 12.00. Is there any site you may suggest where I can learn how to change from mg to cc, I am kind of new to ortho coding and they do a lot of injection. Thansk all for your help and support!!
    Mildred Nieves, CPC

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    The dr needs to document in mg's anyway, ask him to do this on each note when he does an injection. HCPCS codes are all listed with mg not cc.......

  9. #9
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    Columbia, MO
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    The doc is not required to document in mgs. You can get conversion tables from the internet.

    Debra A. Mitchell, MSPH, CPC-H

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    We also use modifier EJ on the synvisc (J7325) for subsequent injections.

    ~L
    CPC, CGSC, COSC

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