Neurology & Pain Management Coding Alert

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J3490 Could Be Best for Lidocaine Injection

Question: What is the best code to report for 1cc of 1 percent Lidocaine used for sacroiliac steroid injection? 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 aesthetic ,as they consider it to be part of the injection procedure."
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