Page 1 of 2 12 LastLast
Results 1 to 10 of 13

Payments on injectibles

  1. #1
    Default Payments on injectibles
    Medical Coding Books
    As I am posting payments I am noticing a trend on lidocaine and marcaine not getting paid. Is there a reason for this?


    A newbie

  2. Default
    What kind of rejections are you getting??? What insurance???

  3. #3
    Medicare saying it is a part of another service, I believe blue cross/blue shield is saying it as well.

  4. Default
    OK, give me an example of what you are billing out

  5. #5
    99212, 20610, j2001, j7321
    99212, 20610, j2001, j1030

    thank you for the help

  6. #6
    Also 99213, 20551. 20610, j0702, j2001, j1030

  7. Default
    Are you using any modifiers???

    This is how I bill out mine:

    99213-25 - 4011
    20550 - 72610
    J1030 - 72610

    Which code are they saying is inclusive?

  8. #8
    It is just the J2001 and J0670 when used in combination with another injectible. I have seen one case the only injectible used was lidocaine and it got paid.
    Yes we always use the mod 25 on the OV code.

  9. Default
    Have you tried a mod 59 on the injections?

  10. #10
    Yes. No luck. After google I am reading it is not payable if used in conjucuntion with another drug for comfort.

Page 1 of 2 12 LastLast

Similar Threads

  1. Co payments (southern ca)
    By BMICHAUN in forum Billing/Reimbursement
    Replies: 2
    Last Post: 06-15-2016, 07:02 AM
  2. Va payments
    By OEHMLER5 in forum Anesthesia
    Replies: 1
    Last Post: 07-02-2014, 07:20 AM
  3. capitation payments
    By emason in forum Billing/Reimbursement
    Replies: 2
    Last Post: 02-08-2013, 01:31 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.