We have a lot of patients coming in for flu shots and weekly injections. They do not see the doctor; they see the nurse who does the education/assessment. My understanding is that we would bill for the injections and the vaccines/drugs, but not an office visit. What is the policy for billing a nurse visit (99211) with a 25 modifier, along with the injection and vaccine codes, and charging the patient a copay? I know that insurance companies won't pay for both the E&M and the injection/administration codes, but what are the legal ramifications of charging the copay?
The practice's position is that they should charge the copay but I disagree. What say you?
Thanks very much.
Louise Cook, CPC
The practice's position is that they should charge the copay but I disagree. What say you?
Thanks very much.
Louise Cook, CPC