Wiki 99385 w/ 96372

[adaniel]

We had a new 18 yr old patient come in for preventive visit and also received a depo shot..... insurance is BCBS of NC....
Can we bill 99385 new pt preventive visit w/ 96372 admin code?

 

[lshaulis]

We give out depo's a lot and I use J1050 to code for the actual shot. We don't use a adm code.

 

[kumeena]

You have to have the administration code (96372) along with J code.

 

[adaniel]

does 99385 get a 25 mod?

 

[terrijo777]

Yes, you will need the modifier.. And Kumeena is absolutly correct you have to have an admin code whenever you do an injection. If you dont' then its a charge that isnt getting submitted or paid. There may not always be a drug code because pt may bring in their own but regardless there will always be an admin code.

 

[adaniel]

Thanks so much for the info!