99212 -25
I would review the definition of the 25 modifier with the physician and verfiy that a "separate, identifiable visit" which went "above and beyond" the typical pre and post procedure interaction between the physician and patientwas performed. At the practice I work at we do not bill visits with epidurals or any other injections for follows up patients. Here is a link that might be helpful
http://www.wpsmedicare.com/part_b/education/modifier_25.pdf
77003 -59
According to the CPT book, Fluoroscopy is required and inclusive (not separately reportable) with 64493. In AMA's CPT Assistant article on Facet Injections from Sept 04, they state Spinal fluoro code 76005/77003 can be reported per spinal region. Since both the epidural and facet where in the same spinal region, You should not bill 77003. Also if you look at the NCCI policy manual, for coding based on these edits, 77003 is reported once per encounter regardless of spinal regions that are involved. In my opionion, most carriers follow the NCCI edits or a very similiar verison that they install in their software.
98925 -59
Not sure which this bundles with since you have 59 but I can not comment because I am not familiar with this procedure
J2001
The descriptor for this code states "intravenous infusion" This is not for reporting an "injection" of lidocaine. This is also considered bundled into 62311 for example. There is anothercode for non medicare carriers: S0020 bupivaine but you will this is typically bundled and the cash poster will spend time doing adjustments on this.
J1030
Patient received a injection of fentanyl? .1mg equals 100 micrograms which equals a 2ml vial. Here is a link for a drug calculator
http://www.palmettogba.com/palmetto/mc.nsf/ivr_display?openform
Q9965
Usually only reported for diagnostic procedures where closer to 10ml or more used.
62311
64493
You are billing for drugs but I don't see Kenalog or depo medrol. Might want to show physician the LCD for Facets for Medicare. There might be a comment on performing mulitple types of injections during same encounter.