Qutenza Patch

[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?

 

[epidural man]

Our hospital stopped carrying it so I can't use it. I liked using it - it had moderate benefit.

 

[Ducttape]

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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[Timeoutofmind]

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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Then you Book them in a follow up slot and just bill them for a follow up office visit?

 

[EruditeDoc]

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?

 

[painlove]

Then you Book them in a follow up slot and just bill them for a follow up office visit?

Bump - Would you bill for follow-up visit?

 

[Ducttape]

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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[Quito]

Do any chain pharmacies carry it? One of my patients is having trouble getting it.