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should 90772 be coded with 11900?

  1. Default should 90772 be coded with 11900?
    Medical Coding Books
    Should 90772 diagnostic injection be coded with 11900 injection, intralesional? Have a provider that was told to do so by previous coders. What is your opinion?

  2. #2
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    well, my first thought was "no way" ... but then I checked the NCCI Edits and low and behold - you can! ! ! ... not sure why you would but according to the edits, you can. The .59 modifier would have to go on the 90772 - So, I'm sure the 90772 would have to meet the requirements for use of the modifier .59...

    the things we learn hey!
    Donna, CPC, CPC-H

  3. #3
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    Quote Originally Posted by kastafan View Post
    Should 90772 diagnostic injection be coded with 11900 injection, intralesional? Have a provider that was told to do so by previous coders. What is your opinion?
    I wouldn't. 11900 is the actual injection into the lesion(s). 90772 does not apply in this case.
    Lisa Bledsoe, CPC, CPMA

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