Wiki billing for administraion of a drug but not the drug itself

[jthagon]

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]

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.

 

[lauriedell]

I always bill for the administration and then enter a charge for the drug of 1 cent.

 

[DK47]

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