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Questions, experiences and reviews (12)

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What hcpcs code do I use for Bupivacaine(marcaine) injection?
We file our claims electronically through WebMD. Although I haven't found any insurance company that pays seperately for S0020(Marcaine injection) most of them will accept the claim through the clearinghouse and then deny the line item on the claim for marcaine. However, Medicare claims with this code will not even get through the clearinghouse. I've been taught that you bill all insurance companies the same. So in this situation I really don't know what to do. Either find a suitable code for Marcaine or stop billing for it all together and my doctor will not go for that. Help!
The Bupivacaine is not given via an infusion pump, it's drawn together with lidocaine and kenalog and given as an injection into a joint. Would you still use the J7799 for injection of Bupivacaine?
Kimberly A
06/28/06
Reply
  S0020 is not valid for Medicare.
You will have to use J7799 with a description of the drug.
http://www.trailblazerhealth.com/drugbio/downloads/drugsininfusionpump.pdf
pookyjo2
06/29/06
Cetirizine hydrochloride (zyrtec) from online pharmacy?
hi...i used an online pharmacy to buy 180 10 mg cetirizine hydrochloride pills (generic zyrtec...for allergies)...normally they are oval but the ones that came in the mail are round and unmarked. they came packaged in little boxes labeled cetirizine hydrochloride and it has all the info on the boxes and also the bubble packs but ive never seen them round and unmarked before. i just want to make sure that i didnt get ripped off and that they are in fact 10 mg of cetirizine hydrochloride. any help is appreciated. thanks!
Maura
07/22/09
Reply
  generics never look like the brand name pills.

if you are concerned, call or email the pharmacy and double check that you got the right med, but if the package has good labeling then you should be ok
Dancing Girl 1
07/25/09
What will happen If i mix Fluoxetine hydrochloride, Cyclobenzaprine hydrochloride, and Ambien CR?
Rene
09/11/10
Reply
  Consult your doctor.
[ ★♏ . A I R ]
09/13/10
Dental Anesthetic Question?
I took a 10 panel hair test to prove that I was on a prescribed medication and the test came back positive for that medication but it also came back positive for cocaine. I DO NOT DO DRUGS. I have been going to the dentist weekly (sometimes twice a week) from January 2011-last week and getting the following injections (multiple injections each week) of 2%Lidocaine with epinephrine 1:100,000 0.5% Marcaine (Bupivacaine HCl with 1:200,000 epinepheine) and Diflunisal 500mg (NSAID) I have a letter proving the above but the MRO wants proof that these could produce a positive cocaine result. They will accept information from an AMA journal article or qualified physician.
Roland C
05/09/11
Reply
  As far as I know cocaine is NOT produced by any of the dental anesthetics commonly used.
PenPress
05/13/11
Are the following classified as narcotics: 1.Phenylpropanolamine Hydrochloride 2.Chlorpheniramine Maleate &..?
Are the following classified as narcotics:
1.Phenylpropanolamine Hydrochloride
2.Chlorpheniramine Maleate
3. Dicyclomine Hydrochloride
Please let me know for each item. Is there a list available online where the names of narcotic items used in medicnes is listed?
Thanks.
Axe
08/07/06
Reply
  You can check on the web site webmd.com. It has all you want to know about any med.
mrsreadalot
08/07/06
how to make Diltiazem Hydrochloride for injection stability?
we make Diltiazem Hydrochloride to dry powder for injection , but it degaretion after one month. it have another substance. how to make it stability? Diltiazem Hydrochloride must be preserved in tight,light-resistant and cool containers.
zheng y
08/27/06
Reply
  Why are you asking this? If you are working for a legitimate company making diltiazem, the chemists would know what to do.
If you're working for a less than legitimate company.....
ckm1956
08/30/06
Do any of these rx drugs get you fucked up.?!?
ChlorproMAZINE Hydrochloride
Cimetidine
Equetro
Zyvox
Verapamil
Hydrochloride Extended-release
Lescol XL
Zocor (simuastatin)
Augmentin XR
Cefpodoxime


any of them?!

thankks (=
not looking for remarks..

asking..

DUH !
=]
11/26/09
Reply
  One is an antibiotic(for infections),One is an Antihistimine(for allergies)....what are you doing,going through your parent's Medicine Cabnit?!?

I'm not going to "help" you...but I'm sure we have plenty of people who will,they believe in "helping" kids get "high safely" around here!

Why don't you go join a sport...or something useful that will encourage your health/body....NOT DESTROY IT ;-)
Mrs Jim
11/26/09
Phentermine Hydrochloride online?
What is the best that you have used? or does anyone know of a website where I can get Phentermine hydrochloride without a perscription. I want the tablets not capsules. My sister was buying them from sisterspharmacy.com and now they do not have them.
With My Forever
02/27/07
Reply
  Go to http://customhrt.com/.
(I know it is a body building website)
Click on Other Treatments
Click Weight Management
Select the dose you want and put in your cart
Fill out info for billing and shipping.
After you have paid, you will see a questionnaire pop up. Fill this out and make up a fake name to go into the Physicians info spot. After you finish filling it out (of course saying you are very healthy) Click Submit.
You will see at the very top it will say Your order has been successful. It will look like you need to do something else because the screen stays on the same page you filed out.
Just X out of the screen and your meds will get to you in 2 days.
I order from this place only....and you do not have to wait for your script to renew before you can order more.
Best of all it is an American pharmacy out of Jacksonville, FL.
Mylena
02/28/07
Teeth whitening after tetracycline hydrochloride?
I've tried Britesmile and it didn't do much at all. Anyone know of any other system that will work after taking tetracycline hydrochloride?
Dave
10/29/06
Reply
  Your NOT going to find anything that will remove that staining.

Zoom Whitening, is the best system out there, that i have seen. I perform the Zoom Whitening Treatment in my office. Plain and simple it wont whiten Tetracycline stains. Nothing will.... Not even, Internal Bleaching. I've seen it (internal bleaching by the doctors) and done it (the Zoom treatment).. and its just NOT going to happen.
debs
10/29/06
what are lincomycin hydrochloride and lidocaine hydrochloride gel use for?
miao
02/14/06
Reply
  Lincomycin hydrochloride is mainly used for fighting respiratory tract and soft tissue infections.

there's another type: It is indicated for the infections due to Staphylococcus,Streptococcus Pneumococcus and anaerobes. It may cause enteritis of pseudo-menbrane after prolonged administration. Patients with hepatic insufficiency should use prudently.

Lidocaine hydrochloride is used as a pain reliever. Lidocaine (lignocaine) belongs to a group of medicines known as local anaesthetics. Lidocaine acts to block temporarily the pathway of pain impulses along nerve fibres. This relieves or prevents pain in the area where it has been injected. This preparation is injected to provide local anaesthesia for minor procedures, such as dental surgery.


you can check out these websites. it's good. good luck!
.whatever.
02/14/06
pseudoephedrine hydrochloride?
I failed a drug test for meth-amphetamine. I don't do drugs, so I was wondering if pseudoephedrine hydrochloride contained some type of ingredient to cause this. I took Sudafed 12 hour sinus relief.
apollo313
08/26/06
Reply
  yes it could of caused a positive result-- this is one of the chemicals used to make meth. it should be out of your system in 3 to 5 days-- ask for another test
james_a_willis
08/26/06
Can we give nalaxone to a twins whom their mother got an overdose of spinal local anesthesia ?
A mother was given spinal anesthesia (Marcarine heavy 0.5 (Bupivacaine)) + fentanyl 25 mcg on a cesarean delivery and the babies were premature (less than 36 weeks). They were born on 15-FEB-2007 & today (15-April-2007) there age is 60 days. Can we give them Nalaxone (Narcan) to reduce the effect of opioids if we doubt that this has made them the respiratory depression. The babies (twins-non identical-female&Male) are facing a respiratory depression & they are on intubation. Will the Nalaxone help in removing the effect of the anesthesia overdoe ?
We are really not sure that this is an overdoes. This is only an assumption!
Evernet C
04/15/07
Reply
  The amount of fentanyl that reaches the mother's systemic circulation from a spinal anesthetic is extremely low. 25mcg is a small dose, even if it was given directly i.v. (which it wasn't). Fentanyl is not your problem.

I seriously doubt that the babies' respiratory problems are related to the fentanyl. It is far more likely that they suffer from immature lungs.

The proper treartment would have been to give the babies betamethasone before delivery, and surfactant immediately after delivery. It is too late for that now.

The babies need intensive care by a neonatologist. Narcan is not going to help them, and may cause problems (it is associated with pulmonary edema in some cases).
Pangolin
04/19/07

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