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OV with procedure and injection

  1. #1
    Default OV with procedure and injection
    Medical Coding Books
    I work with neurosurgeons. They do alot of procedures such as 62311, 20552, 64494 with 77002 and J3301 (kenalog usually 10 mg x 4) with an ov. Would I put a 25 modifier on the ov and 59 on the procedure. I'm not sure how to code these. Can I bill all three to medicare?

  2. #2
    Location
    Baton Rouge
    Posts
    1,239
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    Quote Originally Posted by sriese View Post
    I work with neurosurgeons. They do alot of procedures such as 62311, 20552, 64494 with 77002 and J3301 (kenalog usually 10 mg x 4) with an ov. Would I put a 25 modifier on the ov and 59 on the procedure. I'm not sure how to code these. Can I bill all three to medicare?

    It really depends on the provider's documentation. Can you post an example?
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  3. #3
    Location
    Columbia, MO
    Posts
    12,845
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    You can bill an ov with procedures using just he 25 modifier, as long as the documentation supports this, as far as need a 59 on the procedures depends on whether 2 or more procedures are bundled which you will need to check on. If you have an ov and only 1 procedure then there is no need for the 59 modifier.

    Debra A. Mitchell, MSPH, CPC-H

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