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billing units for kenalog

  1. #1
    Unhappy Please help: billing units for 13 mg of kenalog
    Medical Coding Books
    When we inject kenalog into a scar we use less then 10 mg (or 1 unit). How is this billed? Per medicare if you inject 23mg of kenalog you can only bill for 1 unit,, but isn't clear how to bill for the other 3 mg? I am going to a staff meeting this Wednesday and I really need help with this so I can explain this properly.
    Last edited by mjl903; 02-28-2011 at 08:35 AM. Reason: try to get a response

  2. #2
    We have always been told to round up.
    So if you gave 23 mg you bill it as if you gave 30 mg. So that is 3 units on your claim line.
    If you are only billing one unit for 23 mg you are losing money for those 13 units you did not bill for and that can become a lot of money over time.
    If you gave less than 10 mg it just one unit.
    Brittany Purcell, CPC

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