Modifier 26
25
00030-0293-28
Cpt: 11900 plus J3301 for the kenalog
00003-0293-20 ten mg
For Medicare billing, J3301 (Injection, triamcinolone acetonide, not otherwise specified) and J0696 (Injection, ceftriaxone sodium, per 250 mg) do not typically require modifiers when billed individually. However, if these codes are used in conjunction with other services or if certain circumstances apply (like a bilateral procedure), appropriate modifiers may be needed. It's always best to consult the latest Medicare guidelines or the specific local contractor policies to ensure compliance.
The CPT code typically used for a Kenalog injection for epicondylitis at the lateral epicondyle is CPT code 20551, which is for an injection of a tendon sheath, ligament, or ganglion cyst.