CPT code J3301, which refers to the injection of triamcinolone acetonide, typically does not require a modifier when billed alone. However, if it is being billed in conjunction with other procedures or services that might affect the reimbursement or reporting guidelines, a modifier may be necessary to indicate the specific circumstances. It's essential to review payer guidelines and coding policies to determine if a modifier is needed for specific situations. Always ensure proper documentation supports the use of any modifiers.
Modifier 26
25
Cpt: 11900 plus J3301 for the kenalog
00003-0293-20 ten mg
Its refer to modifier 63, the instruction is to not report modifier 63 in conjunction with CPT code 65820.
what modifier do i use for 96374
Yes, you should use a modifier 59 on the 96372 if it represents a separate and distinct service from the evaluation and management (E/M) service coded as 99213 and the J3301 injection. The 59 modifier indicates that the procedure performed is not typically encountered or performed on the same day as the other service, thus justifying separate billing. Always ensure proper documentation supports the use of the modifier.
CPT
no
is it 59
You can use modifier 32 for mandated service.
Cpt and HCPS