Depo for bleeding control

[desireewhite185@yahoo.com]

Hello,
I wanted to confirm how to bill a patient coming in for the depo shot for bleeding control, N92.1.
The patient brings her own depo. The doctor is going in to see the patient after nurse gives the shot.
Can we bill 99212, 25 with 96372? Would we enter J1050 at .01 to show what shot was given? Thank you!

 

[Missdeehamp]

If the patient is supplying the Depo-Provera, I would report J1050 with a nominal charge such as $0.01 so the payer can identify what medication was administered, who is the payer?

As for the E/M, I'd want to know what the physician is actually doing during the encounter. If the provider is simply stopping in after the nurse administers the injection, I would not automatically bill a 99212-25.

However, if the provider is evaluating the patient's bleeding, reviewing response to treatment, discussing side effects, assessing whether to continue Depo, adjusting the treatment plan, ordering additional workup, or otherwise performing and documenting medically necessary evaluation and management beyond the injection itself, then an E/M may be supported. The documentation would need to show a significant, separately identifiable service and not just oversight of the injection administration.

Based on the question, I'd review the provider's note carefully before deciding whether a 99212-25 is warranted.