Anesthesia Coding Alert

Reader Question:

Choose J3490 -- Not J2001 -- for SI Lidocaine Injection

Question: Our physician administered a sacroiliac steroid injection using 1cc of 1 percent Lidocaine. How should we code it?Washington Subscriber Answer: A quick glance might make you think J2001 (Injection, Lidocaine HCl for intravenous infusion 10 mg) might be a possibility, but don't go that route. Code J2001 represents IV infusion of Lidocaine, which is used for cardiac arrhythmias and not as a local anesthetic. A better choice might be J3490 (Unclassified drugs) with a note in Box 19 to indicate the drug and its concentration. Caution: Many payers do not allow separate reimbursement for local anesthesia, as they consider it to be part of the injection procedure.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Anesthesia Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.