Vangie Posted Mon 23rd of January, 2012 17:09:56 PM
Patient came into Internal Medicine Clinic.
Dx: Trochanteric bursitis.
Procedure: the right trochanteric bursa was injected with 80 mg kenaolog and 1 mL of 1% Xylocaine. He got prompt relief of his hip discomfort.
I coded this as follows:
SuperCoder Answered Wed 15th of February, 2012 11:46:07 AM
Hi Vangie, sorry for delayed response. As our Ask and Expert leader is on emergency leave, I am answering your query. Hope you could check this answer.
For Xylocaine, HCPCS is J2001 (lidocaine HCl)
For Kenalog, HCPCS is J3301.
Now the code descriptor for J3301 says 10 mg, therefore you should use J3301 x 8
1% Xylocaine is equivalent to 10 mg and it is okay with requirement. No units required.
Now coming to billing part. If you are billing for Medicare, there is some bundling edits between these edits. HCPCS Xylocaine is a column two code for trochanteric bursa and you could override it by appending -59. So you should bill:
J3301 x 8