Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

trochanteric bursitis

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:

20610/RT
J3301

Xylocaine??

Please advise.

thank you.

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:
20610-RT
J3301 x 8
J2001-59

Related Topics