S0020-50,J2001

[isabelreyna]

 :-\I work in a chiropractice office we been billing these codes to bc but they keep denying as "separately billing service/test have been bundle as they are components of the same procedure.

[kristin]

Was the Marcaine administered via an IV? If not, you cannot bill for it separately.

[isabelreyna]

thank you for your help, greatly appreciate your help. Can I ask why? they are big dollar medication.

[kristin]

Anesthetic drugs such as marcaine and lidocaine when administered in an injection are not separately payable from the injection code itself, they are considered part of the injection code already. You can bill for the therapeutic drugs injected, such as dexamethasone, etc, but not the anesthetic drugs.

Marcaine/bupvacaine is generally a very inexpensive drug, with a 50 ML bottle costing about $4.00. Not sure why you say it is a big dollar medication?

[isabelreyna]

k, thank you for your advice a little more on how is billed: Its a Chiropractic office the MD is billing it as

20553
S0020-50
J1885
J2001
 

[isabelreyna]

k forgot to give you the dollar amt for the S0020 billed 120.00 and for J2001 144.00 ….

[Michele]

Anesthetic drugs such as marcaine and lidocaine when administered in an injection are not separately payable from the injection code itself, they are considered part of the injection code already. You can bill for the therapeutic drugs injected, such as dexamethasone, etc, but not the anesthetic drugs.

Marcaine/bupvacaine is generally a very inexpensive drug, with a 50 ML bottle costing about $4.00. Not sure why you say it is a big dollar medication?

It's a chiro office but it's billed under an MD?

Back to Kristin's original answer, it would only be covered if administered thru an IV.  Was it injection or IV?

[isabelreyna]

the S0020, J1885,J2001 are all injections. 

[Michele]

Anesthetic drugs such as marcaine and lidocaine when administered in an injection are not separately payable from the injection code itself, they are considered part of the injection code already. You can bill for the therapeutic drugs injected, such as dexamethasone, etc, but not the anesthetic drugs.

Marcaine/bupvacaine is generally a very inexpensive drug, with a 50 ML bottle costing about $4.00. Not sure why you say it is a big dollar medication?

Looks like it is just not a payable service for the situation you are billing it for.