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Injection admin. Code for trigger finger

  1. #1
    Location
    Fayetteville,NC
    Posts
    23
    Question Injection admin. Code for trigger finger
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    Hi everyone,


    I need some guidance. We billed Medicare the following:

    99212 (25), 20600(F3) and J1030- patient DX: trigger finger,swelling of limb & pain in finger

    Medicare is denying both 99212(25) & 20600(F3) as inclusive and only paid on drug J1030?

    SHOULD the admin. CPT be corrected to 20552 for trigger point injection rather than injection of small joint/finger.toe 20600?

    I'm not sure whether to tell biller to contact MCR regarding this denial for better clarification or to correct injection admin. code as noted above.

    Any replies greatly appreciated!! thanks to all in advance!

  2. Default
    Try using the 20550 Tendon sheath or Ligament code. The 20552 is for injecting muscles...hope that helps

  3. #3
    Default
    I agree..........I use 20550

  4. Default 20550
    our 20550 is being denied how are you billing?

  5. #5
    Default
    20550 F7 (which ever digit applies) 727.03

    the office visit will probably not be paid.....there is a portion of the rvu in all injection codes for an e/m -

    What was reason for denial on 20550?

  6. #6
    Location
    Piedmont Area Coders, VA
    Posts
    51
    Default
    Denial might be because of the F7. 20550 is not a "finger" specific code, like a PIP joint or a phalanx. I had a number of these that paid once I removed the finger modifiers.
    Good Luck!
    dc
    RHIT,CPC

  7. #7
    Default
    Quote Originally Posted by Laxwido View Post
    Denial might be because of the F7. 20550 is not a "finger" specific code, like a PIP joint or a phalanx. I had a number of these that paid once I removed the finger modifiers.
    Good Luck!

    LOL..I love how consistent payors are...I have never been denied for the finger modifier

    they are probs just denying ...hoping you wont appeal

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