tci Part B Insider - 2004 Issue 21

USE LIDOCAINE ONLY FOR CARDIAC ARRHYTHMIAS AND BIER BLOCKS

A new code for 2004, J2001 (Injection, lidocaine HC1 for intravenous infusion, 10 mg) made it easier to bill for lidocaine in smaller quantities than the old code, J2000, which specified 50 cc quantities. But you still have to be careful what you bill J2001 for. Most carriers, such as Cahaba GBA, state flatly that they'll cover J2001 for intravenous injection for management of "cardiac arrhythmias and emergencies only." But Empire Medicare Services says its local coverage decision, effective late June, will also cover J2001 for intravenous regional anesthesia (or Bier Block) incident to a physician's service. CCI...

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