• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 1 or 2 units of 96372

Create Wiki
S

slc112071

Networker
Messages
76
Location
Burkburnett, TX
Best answers
0
Could someone please help me? I know that I have seen that if a patient gets two injections of a pre-filled syringe of any medication, that you only bill 1 unit for the injection code. Does anyone have a link that supports the using only 1 unit? This goes for meds like Evenity, Xolair, Cimzia, etc.
 
There's no guideline that I'm aware of that says you can only bill one unit. The facility where I worked for several years performed Xolair injections and always billed 2 units for these - I was never aware of any denials or other reimbursement issues with this. I would mention, however, that I believe Medicare reimburses a flat APC rate for this service under OPPS, so for outpatient hospital billing, there won't be any additional payment for additional units.
 
You must log in or register to reply here.
Top