Month: August 2020

SI Joint Injection Help
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SI Joint Injection Help

August 20, 2020 Question: My physician performed an SI joint injection in the ASC under ultrasound guidance and wants to bill 27096 and 76942. Is this correct? The description of the codes say imaging is included. Answer: If ultrasound is used instead of fluoroscopy, or CT, report a trigger point injection with 76942. Some payor...

Laceration and Fracture Repair
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Laceration and Fracture Repair

August 20, 2020 Question: My physician is utilizing an open laceration on the patient’s chin for open reduction of a mandibular symphysis fracture and he wants to also charge for a complex laceration repair for that laceration. Is this billable or is it part of the ORIF code? Answer: If the fracture is repaired through...

Excision and Cryotherapy Same Day
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Excision and Cryotherapy Same Day

August 20 , 2020 Question: My physician performed a lesion excision on the scalp which measured 0.8 cm and performed cryosurgery on the neck and destroyed 2 lesions. The lesion on the scalp he documented as benign. Can I report both procedures? Answer: Yes, you would report CPT code 11421 for the benign lesion excision...

EXPAREL Use
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EXPAREL Use

August 6 , 2020 Question: What HCPCS codes can I report when the physician administers EXPAREL after the procedure in the office? I cannot find the code. Answer: Exparel is a nerve block and is sometimes used in the office as part of the surgical procedure and is included in the practice expense for the...

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