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Multiple Injections

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Exclamation Multiple Injections
    Medical Coding Books
    I'm sure this question has been asked and answered a few times on this forum, but I need clarification on the correct way to code for multiple injections, please:

    Scenario one:

    A patient comes in the office and the provider orders and we administer two injections. One of Rocephin and one of Kenalog. What is the correct way to report these? Would we code:

    96372 X 2
    J0696
    J3301

    or

    96372
    J0696
    96372-59
    J3301

    Scenario two:

    A patient comes into the office and the provider orders and we administer two injections of the same medication. Can this be reported as follows?

    96372
    J code
    96372 -76
    J code

    Is modifier 76 appropriate for multiple injections of the same medications?

    Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #2
    Default
    Why would you use a 59 modifier?
    Last edited by Peter Davidyock; 07-23-2010 at 08:27 PM.

  3. #3
    Default 2 administrations
    Dear dballard 2004

    You would code

    96372x2
    J0696
    J3301

    Check your HCPCS for the medications.
    Most medications are coded by units.
    So if more was administered than the unit given in the book, add units to your medications.

    Hope this helps : )

    Barbara
    The Oracle

  4. #4
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    My thanks to both of you!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  5. #5
    Default
    No problem.
    Glad I was able to help.
    Barbara
    The Oracle

  6. #6
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Ok, so if I understand correctly....multiple injections are coded as either units or modifier 59. Personally I would use modifier 59. Now what about two injections of the same meds? Would this be a 59 modifier as well or could we report modifier 76? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  7. #7
    Location
    Columbia, MO
    Posts
    12,531
    Default
    you would use the 59 as it is a separate and distinct injection, a repeated procedure must be the EXACT same procedure repeated in a different session. When you give another inject it is in a different location so therefore the 59.

    Debra A. Mitchell, MSPH, CPC-H

  8. #8
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Debra,

    Thanks so much!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

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