tci Part B Insider - 2011 Issue 45

Reader Question: Forget About Collecting for 'S' Codes From Medicare

Question: We've had increasing problems billing and being paid for the medications we use for trigger point and nerve block injections. We bill J1094 for Dexamethasone 4 mg, S0020 for Marcaine 0.5 percent and J2010 for Lidocaine 2 percent. We never get paid for the Marcaine and rarely get paid for the Dexamethasone. What should I change when we resubmit? Answer: Physicians typically use Marcaine as an anesthetic for the procedure. If you look in your CPT® book under "CPT® surgical package definition," it outlines that, "local infiltration, metacarpal/metatarsal/digital block or topical anesthesia" is included in the...

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