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Coding For Multiple Injections

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Default Coding For Multiple Injections
    Medical Coding Books
    If a patient comes into the office and we administer multiple injections (example, Kenalog and B12) in the same encounter, how would this be coded?

    Would we code this as:

    90772 X 2
    J3420
    J3301

    or

    90772
    J3420
    90772-59 (separate procedure)
    J3301

    What if a patient comes in and we give multiple injections of the same drug (i.e., Xolair)?

    Could we code this as:

    90772
    J2357
    90772-76 (repeat procedure by physician)
    J2357

    or

    90772 X 2
    J2357

    What is the correct way for both of these scenarios? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    It doesn't happen too often like that but it does happen, and when it does we code it with the 90772 / 90772.59 and haven't ever had any issues on the billing/processing side of things. (and we make sure out linking in done also)
    Donna, CPC, CPC-H

  3. #3
    Default
    We administer multiple injections in the same encounter for a Medicare patient of ours and we code 90772 and 90772-59 without problems. (The patient brings their own medicine so we do not file a J code.) I'm not entirely sure about your second question as I have not encountered that scenario.

    Hope this information helps!

    Teresa Collins, CPC

  4. #4
    Default
    We are a family practice and give multiple injections frequently. For Medicare we code 90772, 90772-76 and then the med hcpcs. For any other company besides medicare, we bill 90772 with the number of units and then the med codes.

  5. #5
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks to everyone! If I understand correctly here.....We can code 90772-59 for multiple injections of different drugs, and code 90772-76 for multiple injections of the same drug? I am doing a training session with my providers and want to make sure that they have the correct info.
    Last edited by dballard2004; 10-21-2008 at 10:20 AM.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  6. #6
    Location
    Louisville, KY
    Posts
    1,101
    Default
    I do not show -76 as a valid modifier for this code.

  7. #7
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks so much! I appreciate all of your help.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  8. #8
    Default
    Kevin, this is the way WPS, the medicare carrier for Iowa will pay for multiple injection codes. It started Jan 1, 2008.

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