Eli's Rehab Report
Reader Question:
Synvisc for Shoulders
Published on Sun Sep 01, 2002
Question: Is there any way that Medicare will reimburse us for a shoulder injection using Synvisc? Virginia Subscriber Answer: No. Because the FDA approved Synvisc (J7320, Hylan G-F 20, 16 mg, for intra-articular injection) only for patients with osteoarthritis of the knee (715.16, 715.26, 715.36 and 715.96), Medicare will not cover its use for any other conditions. Some private payers reimburse for the medication itself when Synvisc is injected into the shoulder, but most will not pay for the administration (20610*, Arthro-centesis, aspiration and/or injection; major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]).
Other Articles in this issue of
Eli's Rehab Report
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The Great Debate
Coders who are confused about whether to append modifier -59 (Distinct procedural service) or -51 [...] - You Be the Coder:
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CMS delivered a double treat to PM&R practices in July, issuing new electrical stimulation coverage [...] - ICD-9 Coding Corner:
V Codes Arent Just Accessories
Many coders think of V codes as ICD-9 Codes's equivalent to CPT's add-on codes: They [...] - CMS Announces New ICD-9 Codes for 2003
On June 20, CMS released Program Memorandum AB-01-085, which lists the changes to ICD-9 Codes [...] - Reader Question:
Scoliosis Exams
Question: Our physiatrists often see children for scoliosis screenings or to rule out problems. The [...] - Reader Question:
Synvisc for Shoulders
Question: Is there any way that Medicare will reimburse us for a shoulder injection using [...] - Reader Question:
Compression Bandaging
Question: Can either 97504 (Orthotic[s] fitting and training, upper extremity[ies], lower extremity[ies], and/or trunk, each [...] - Reader Question:
Spinal Hardware Injections
Question: Is 64470 (Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; [...] - Reader Question:
New Trigger Point Codes
Question: Until this year, we were billing trigger point injections (TPIs) with CPT 20550 [...] - Reader Question:
EMG on Four Extremities
Question: If we perform an EMG on two muscles in each of four extremities, can [...]
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