Qutenza Patch

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EruditeDoc

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Anyone recently use a Qutenza patch or has this fallen out of favor? Any luck with patient pain outcome? Any luck with billing?
Do you use EMLA cream prior to application?

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Just lidocaine. EMLA would have too much epi.

Nowadays, have to write a script and patient pics up to bring in to the office. Otherwise reimbursement is nonexistent....


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I wasn't aware the EMLA cream contained epinephrine. I thought it was Lidocaine 2.5% + Prilocaine 2.5%

Do you apply the local in the office or have the patient apply at home?
 
You can bill as follow up with a modifier. I think we did used 96999 and 99213. Most of time is with nurse. I did try E/M with extended stay modifier too. Forgot how that went...

I.e. Reimbursement sucks. But I don't focus on that...


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