Question 99211 vs 96372

smatt58

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Can you bill a 99211 when the patient supplies the medication i.e. B12 instead of 96372? We've started to receive denials.
 

thomas7331

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No, 99211 is an evaluation and management services and 96372 is an injection. They are different services with different definitions and are not interchangeable. You can only bill the services that are documented.

If you are receiving a denial, then the correct approach is to review the payer's policies, or discuss this with them to get an understanding of why this is happening.
 

jbland

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are you putting the "J" code on the claim with 96372 with a 0.00 cost? The claim will deny for not having the medication on the claim.
 
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