Anesthetic Drugs with Injections
My coders tell me that billing anesthetic drugs with injection procedures is unbundling and are reversing charges on outpatient clinic encounters.
Example 1: The procedure was 20610. The drugs given were Ketorolac (J1885), Ropivacaine (J2795), and M-Pred Acet (J1040). The drugs were drawn into one syringe. The coder reversed J2795.
Example 2: The procedure was 20523. The drugs given were Ropivacaine (J2795) and Lidocaine. The coder reversed both charges.
The "caine" drugs are packaged into the procedure and bring no separate reimbursement. My understanding is that if the purpose of the drug is for numbing/analgesia, then we shouldn't bill but if they're used for therapeutic purposes, then it's okay. If given with other drugs as in Example 1, does it make them therapeutic? Since they're the only drugs in Example 2, then is the purpose numbing/analgesia?