Wiki 96372 Therapeutic injections during office visit

Create Wiki Sort by date
M

mebjones83

New
Messages
2
Location
Murphy, NC
Best answers
0
I have a claim that has an office visit (99213) with a therapeutic injection (96372) and J3301 (Kenalog). Looking at CCI edits, it states that it's inappropriate to bill 99213 with 96372. I've also noticed that insurance has rejected this before, (with 25 mod. on 99213). If I bill 99213 and J3301 and leave off the injection, would I still put modifier 25 on the office code to account for J3301 (kenalog)? I can't remember. Thank you!
 
0
mebjones83 said:
I have a claim that has an office visit (99213) with a therapeutic injection (96372) and J3301 (Kenalog). Looking at CCI edits, it states that it's inappropriate to bill 99213 with 96372. I've also noticed that insurance has rejected this before, (with 25 mod. on 99213). If I bill 99213 and J3301 and leave off the injection, would I still put modifier 25 on the office code to account for J3301 (kenalog)? I can't remember. Thank you!
Click to expand...
No, however, I'm not sure I understand why you wouldn't want to report 96372 if the injection was administered. You code for the services rendered regardless of what insurance chooses to pay.
 
You must log in or register to reply here.
Top