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Coding Injections

  1. #1
    Location
    bloomington il
    Posts
    14
    Default Coding Injections
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    I was wondering if someone could give me some insight on coding injections like synvisc injections and cortisone injections, it is true that when a Dr has given a injection (example) in shoulder for dx: r shoulder impingement. Do you have to have a secondary diagnoses (ex: elbow pain) in ordr to get reimbursed for injection. Or can you just use r Shoulder pain code along with r shoulder impingement and modifer 25? What about Knee injections?Or is There a rule for injection codes.

    Lisa
    Illinois, Orthopedic Office

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    If the reason for the visit is a "planned" injection, such as Synvisc, you should not be coding/billing the E/M code unless the patient is evaluated for something different (knee pain) which would then qualify for the -25 modifier on the E/M visit.

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