injection administration

  1. A

    Wiki Splitting Injections Between Payors

    Hello - We are a large orthopedic and sports medicine practice and we have been having the same conversation regarding the billing of off-label use of HA injections into non-FDA approved joints. The doctors want to split up the codes and bill the administration code, 20610, to the private payors...
  2. J

    Wiki Billing insurance for injection and patient for drug

    If a drug is considered non-covered by the patients insurance. Can the patient pay cash for the drug and the physician bill the insurance for the administration example 20610 and an office visit if warranted?
  3. J

    Wiki Billing injection CPT to insurance and patient for drug

    If a drug is considered non-covered by the patients insurance. Can the patient pay cash for the drug and the physician bill the insurance for the administration example 20610 and an office visit if warranted?
  4. E

    Wiki J1050/96372 with E/M code?

    Hello! Can someone provide clarification on when it's appropriate to bill an office visit (99202-99215) with a Depo-Provera injection? From my understanding, the injection, 96372, is already calculated to include some basic evaluation, such as vitals, appearance, etc. Specifically, my situation...
  5. R

    Wiki 90732 with 90471 vs G0009

    Hi Everyone. I am fairly new to coding for family practice. I have a Medicare patient who had the Pneumovax Vaccine. I just want to verify that it should be billed with G0009 for the administration code and not 90471. Or are they both billed with it? Also then 90670 is billed the same way...
  6. I

    Wiki Trigger Point Injection Code(s)

    Please review the attached image for handwritten details about the Injection given to a patient in Urgent Care settings. If someone can please provide us the J code with how many units of 96372? Thank you
  7. M

    Wiki 96401 Administration code and Xolair

    The patient's dose of Xolair is split into 2 separate injection sites. The reimbursement rep from the drug company has told us to bill 96401 with 2 units which have been paying. Shouldn't it be one administration for the one "dose" of Xolair despite the number of sticks?
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