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injections following a procedure

  1. Default injections following a procedure
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    hello can someone answer this for me, if a ortho surgeon performs a manipulation under anesthesia breaking up adhesions in the shoulder then injects marcaine and decadron into the joint can we code the injections? any and all help is appreciated..thanks alice

  2. #2
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    Salt Lake City
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    38
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    Is it done during the procedure on the same day? Or is it done in the post op period?

  3. #3
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    Quote Originally Posted by alices View Post
    hello can someone answer this for me, if a ortho surgeon performs a manipulation under anesthesia breaking up adhesions in the shoulder then injects marcaine and decadron into the joint can we code the injections? any and all help is appreciated..thanks alice
    I dont see why you can't bill an injection.

  4. Default
    actually, I believe that the injection is bundled in with the MUA. You could always append a 59 modifier if you / doctor feels that extra work was performed and the documentation supports it.

  5. #5
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    The injection is bundled under CCI. It does allow you to override it with a 59 modifier, but I'm guessing they will deny as pain management and deny it.

  6. Default re-injections
    Thank you everyone for answering, the dr did the injections after the procedure was done but pt was still in the operating room, so can I code? I thought maybe I could just because it wasn't part of the procedure but again I am not all that sure..thanks alice

  7. #7
    Location
    Greater Pittsburgh
    Posts
    390
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    If it was the same shoulder are the manip. it's bundled and you cannot bill.
    jdemar, CPC, CMA

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