Wiki Billing North Carolina Medicaid for depo injections

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LanaW

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Help - I am using the code 96372 and it is being denied - pt brings depo - we inject - charge nothing for the J code but I do put it on the claim so the payor will know what is being injected. Use 96372 as the inj code but it is being denied....any ideas?
Thank you! :)
 
I work in a OB/GYN office in Raleigh. We bill the 96372 & the J code billed with a zero charge & ICD-9
V25.09. Plus with modifier FP for family planning. Medicaid's policy states you must put modifier FP, if it is for family planning.
Hope this helps!!

Michelle Raymond, CPC
 
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I am in NY and till anout 5 months ago we used the same code for inj. BUT most of our carriers switched to "90471 Injection of med. IM or SO". I am NOT sure sure about your state though. See if you can call them again (spend another 1/2 day on the phone) :) (SORRY) and see if its a paybale code.
 
dan528i said:
I am in NY and till anout 5 months ago we used the same code for inj. BUT most of our carriers switched to "90471 Injection of med. IM or SO". I am NOT sure sure about your state though. See if you can call them again (spend another 1/2 day on the phone) :) (SORRY) and see if its a paybale code.
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90471 is for immunizations, I am having a hard time calling depo an immunization to prevent pregnancy.
 
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