DRUGS USED

------=_Part_116092_1375559677.1485868813948
Content-Type: text/plain; charset=utf-8
Content-Transfer-Encoding: 7bit

We have a question concerning Aspirations given, the drugs used in the Aspiration, do you charge for them or not. We have different views on this one, we are under the impression they are included in 20610, but others says we should code/charge for the drugs used, J2001, etc. The drugs used are documented in the progress notes, providers say that would be fine and that they consider them part of 20610.


Any suggestions would be helpful.


Thanks
Rosemary Hoormann,CPC

------=_Part_116092_1375559677.1485868813948
Content-Type: text/html; charset=utf-8
Content-Transfer-Encoding: 7bit

We have a question concerning Aspirations given, the drugs used in the Aspiration, do you charge for them or not.  We have different views on this one, we are under the impression they are included in 20610, but others says we should code/charge for the drugs used, J2001, etc.  The drugs used are documented in the progress notes, providers say that would be fine and that they consider them part of 20610.




Any suggestions would be helpful.





Thanks

Rosemary Hoormann,CPC

------=_Part_116092_1375559677.1485868813948--

Comments

  • HI
    When we bill 20610 for an aspiration, lidocaine is included and we do not separately.



    Mindy L Dowd CPC,CPMA
    Denver Arthritis Clinic
    200 Spruce St
    Suite 100
    Denver,CO 80230
    (303)302-7433
    mdowd@dacdenver.com

    From: hoormannradar@aol.com [mailto:hoormannradar@aol.com]
    Sent: Tuesday, January 31, 2017 6:20 AM
    To: Multiple recipients of list PARTB-L
    Subject: [partb-l] DRUGS USED

    We have a question concerning Aspirations given, the drugs used in the Aspiration, do you charge for them or not. We have different views on this one, we are under the impression they are included in 20610, but others says we should code/charge for the drugs used, J2001, etc. The drugs used are documented in the progress notes, providers say that would be fine and that they consider them part of 20610.

    Any suggestions would be helpful.

    Thanks
    Rosemary Hoormann,CPC









    * * *

    Part B-L is sponsored by Part B News (www.partbnews.com), which is published by DecisionHealth (http://www.decisionhealth.com). Call us toll-free 877-602-3835



    To unsubscribe: Go to http://www.decisionhealth.com/partb-l; Type in your email address; Click �My Forums�; Click �unsubscribe�



    Going on vacation? Set your membership to no email. Here�s how: http://www.decisionhealth.com/partb-l; Type in your email address; Click �my account�; Look for �Membership type� and click the arrow next to the box; Select no email; Click �save changes�; Click �log out.�



    If you belong to more than one of our forums, simply click on one of the forums and follow the same directions as above. The selection you make, e.g., �no email,� should apply to all of your forums.



    To post to this list, use partb-l@list.partbnews.com

    ______________________________________________________________________
    This email has been scanned by the Symantec Email Security.cloud service.
    For more information please visit http://www.symanteccloud.com
    ______________________________________________________________________

    ______________________________________________________________________
    This email has been scanned by the Symantec Email Security.cloud service.
    For more information please visit http://www.symanteccloud.com
    ______________________________________________________________________
  • You should always bill for the injectable medications.



    There can be extreme variation in the costs of drugs based on the dose given, i.e. dexamethasone at 0.10 or Hyalgan at $84.00.



    Be sure your billed amount is higher than your acquisition cost. If the reimbursement is lower, you should go back to your supplier and show them the reimbursement.



    To my knowledge, the only drug included in an injection CPT code is lidocaine, but I do not have experience in all specialties.



    Karen A. Hurley, BS, CMM, CPC, CNA

    President, HPMSI

    PO Box 409

    Parrish, FL 34219

    Tel: (941) 776-4822

    Fax: (240) 368-0059

    Web: www.hpmsi.com



    Since 1996, Celebrating 20 years of Service to Physicians



    Disclaimer: Advice or comments given in this email are specific only to the recipient and the presented issue. It is not intended to be used as a global solution for future similar events. Reproduction of the information requires approval by the author.





    From: hoormannradar@aol.com [mailto:hoormannradar@aol.com]
    Sent: Tuesday, January 31, 2017 8:20 AM
    To: Multiple recipients of list PARTB-L
    Subject: [partb-l] DRUGS USED



    We have a question concerning Aspirations given, the drugs used in the Aspiration, do you charge for them or not. We have different views on this one, we are under the impression they are included in 20610, but others says we should code/charge for the drugs used, J2001, etc. The drugs used are documented in the progress notes, providers say that would be fine and that they consider them part of 20610.



    Any suggestions would be helpful.



    Thanks

    Rosemary Hoormann,CPC








    * * *
    Part B-L is sponsored by Part B News (www.partbnews.com ), which is published by DecisionHealth (http://www.decisionhealth.com). Call us toll-free 877-602-3835

    To unsubscribe: Go to http://www.decisionhealth.com/partb-l; Type in your email address; Click My Forums; Click unsubscribe

    Going on vacation? Set your membership to no email. Heres how: http://www.decisionhealth.com/partb-l; Type in your email address; Click my account; Look for Membership type and click the arrow next to the box; Select no email; Click save changes; Click log out.

    If you belong to more than one of our forums, simply click on one of the forums and follow the same directions as above. The selection you make, e.g., no email, should apply to all of your forums.

    To post to this list, use partb-l@list.partbnews.com
  • Medicare will not allow reimbursement for the lidocaine used in a joint inject or aspiration. The good news is, it is very inexpensive

    Bonnie Hoag, RN, CCS-P
    Brown Consulting Associates, Inc.
    208-736-3755
    bonniehoag@codinghelp.com

  • If you are only doing a “aspiration” and using the lido mix for the patient comfort that should be included in the aspiration. If you are aspirating and then injecting cortisone or any other type meds into that joint you should definitely bill for those drugs!

    From: hoormannradar@aol.com [mailto:hoormannradar@aol.com]
    Sent: Tuesday, January 31, 2017 6:20 AM
    To: Multiple recipients of list PARTB-L
    Subject: [partb-l] DRUGS USED

    We have a question concerning Aspirations given, the drugs used in the Aspiration, do you charge for them or not. We have different views on this one, we are under the impression they are included in 20610, but others says we should code/charge for the drugs used, J2001, etc. The drugs used are documented in the progress notes, providers say that would be fine and that they consider them part of 20610.

    Any suggestions would be helpful.

    Thanks
    Rosemary Hoormann,CPC









    * * *

    Part B-L is sponsored by Part B News (www.partbnews.com), which is published by DecisionHealth (http://www.decisionhealth.com). Call us toll-free 877-602-3835



    To unsubscribe: Go to http://www.decisionhealth.com/partb-l; Type in your email address; Click �My Forums�; Click �unsubscribe�



    Going on vacation? Set your membership to no email. Here�s how: http://www.decisionhealth.com/partb-l; Type in your email address; Click �my account�; Look for �Membership type� and click the arrow next to the box; Select no email; Click �save changes�; Click �log out.�



    If you belong to more than one of our forums, simply click on one of the forums and follow the same directions as above. The selection you make, e.g., �no email,� should apply to all of your forums.



    To post to this list, use partb-l@list.partbnews.com
Sign In or Register to comment.