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Billing codes 11900 with J3301

David Posted Thu 18th of September, 2014 15:21:33 PM

Is the proper billing procedure for intralesional injections (11900) Units for lesions up to & including 7 and then add the J3301 for Kenalog and indicate the amount of medication CCs used - # of units or is it common practice to not bill for the drug. I have always billed injections with the medication J code, but found this office not doing so.
Thanks

SuperCoder Answered Thu 18th of September, 2014 16:54:20 PM

Thank you for your question.

You are correct, 11900 is the procedure code for the injections and J3301 should be coded for the Kenalog used for the injections. Some providers have not coded it because reimbursement is typically low, however correct coding compliance is to code for all services performed and drugs used during the visit and procedure.

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