Wiki kenalog injection

[Krista-Lynn]

I am a beginner at coding and I am doing an internship in a family practice- so please be patient- My question is a patient (established)came into the office for a routine visit while there he complained of shoulder pain in both shoulders so the dr gave him an injection of kenalog into both shoulders- so would you code 99213-25,20610-50 and then do you also code for the serum used? Any input would be great!!

 

[Lisa Bledsoe]

It will depend on the insurance how to code the bilateral joint injection. Medicare likes 20610-50 x1 unit and charge 150% of the fee; others like two line items 20610 (100% of the fee) and 20610-50 (50%). You do need mod -25 on the e/m as you have it listed and yes, you should charge for the kenalog. We usually code J3301 x4 for one large joint, so you probably have J3301 x8.