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Code 99211 for injecion

grandmacora

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127
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When a pt comes in just for a injection in the knee we bill 20610 and the j code. They do not examin the pt just the injection is given the Doc gives the pt the injection.We have been billing the 99211 with a 25 modifier. Do you think we should use the 99211 and the 25 or just bill the injection? The J code used is J1030 for Depo Medro. Thanks so much
 

aaron.lucas

Expert
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286
Location
Cherry Hill, NJ
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if there's no exam being done then no, you shouldn't be billing an E/M. and actually, even if there was an exam, if it wasn't separate from the injection you couldnt bill it anyway, due to the global (20610 has "0" global days). the only way you could bill the office visit as well is if the patien came in for an exam, and "oh by the way we'll do this injection while we're here", but if the main reason for the visit is the injection, then the exam would be included.
 
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