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Depo Injection - I have a provider that is injecting

  1. #1
    Location
    Reading, PA
    Posts
    28
    Default Depo Injection - I have a provider that is injecting
    Medical Coding Books
    I have a provider that is injecting J1020 (20mg) bilaterally. 20mg on right side and 20mg on left side

    Do I bill one of the following ways
    J1030 which is 40mg
    J1020-50
    J1020-LT & J1020-RT
    J1020 x 2

    Any website that you can direct me to would be helpful.

    Thanks
    DLT

  2. #2
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    We always bill drugs used in the joint injections with units, not 50 or RT, LT modifiers.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3
    Location
    Reading, PA
    Posts
    28
    Default
    So it would be appropriate to bill J1020 x 2 ?

  4. Default
    you should bill with 2 units-rt and lt modifiers would not be appropriate.

  5. Default
    You should code only the J1030 (40 mg) with 1 unit for the total 40 mgs injected. Drugs are coded based on the total amount given during that visit. That your provider decided to split the 40mgs into 2 injections (patient comfort?) doesnt mean you split the coding

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