billing for administraion of a drug but not the drug itself

jthagon

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We have a denial from AARP where we billed a 96372 for the administration of testosterone. The patient brings in their own testosterone therefore we only need to bill for the administration. AARP is denying for inappropriate drug/admin code combination. Any ideas on how to get them to process the claims?
 

thomas7331

True Blue
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Some payers do require the drug to be identified, which makes sense because you can't determine if the administration is a covered benefit or not without knowing what was administered. For payers that require the drug, I would recommend billing the appropriate drug code with a zero dollar charge (or $0.01 if the system does not accept zero), and using the FB modifier to indicate that your provider did not incur any cost for the drug itself.
 

DK47

Networker
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Does this work for Medicare as well and do they need the FB modifier?
 
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