Wiki Rimso Cocktail

[KaylaRieken]

Patient received an installation of 50mg Rimso, 1ml Kenalog, 10mL lidocaine, 1 cc heparin into the bladder. I'm thinking of codes 51700, J1212 x 1, J1644 x 10. Can I bill for the Kenalog? J3301? Or is this only for IM? Any advice would be greatly appreciated.

 

[daniel]

I would code for it. the thing I see not to code for is 10mL lidocaine. Other than that go for it.

How do you code for bladder instillation of Heparin, Lidocaine and Solumedrol for painful bladder patients?​

Per the AUGS Coding Committee:

The proper CPT code for bladder instillation is 51700, you may also code for the medications used, and the units or amount used:

Heparin J1644

Kenalog J3301

The use of a local analgesic, such as lidocaine or Marcaine is typically not separately reimbursable, and is considered part of the 51700 code. Usually the local anesthesia used is NOT billed as it is considered anesthesia bundled into the procedure.