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Wiki E/M with 96372 - When we do our quarterly visits

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Danielle

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When we do our quarterly visits for our psoriasis patients and administer an injection of a biologic in the office, is it ok to bill both office visit (such as 99213) with the injection of a biologic code, 96372. Or, should we only bill the 96372? We would be checking their skin for response to treatment, getting history on side effects and psoriasis and/or arthritis as well.

A/P would include Psoriasis and Long term use of medications +/- itch, xerosis, etc if appropriate.

Thanks,
Danielle
 
It should be fine since it's classified as "XXX" under global which means global concepts do not apply.

I assume this also means no pre opt or post up is included in the payment for 96372 so a separate e/m is billable if the patient didn't just come in for a IM injection and walked out.
 
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96372

If you are only giving the injection you cannot bill an office visit, only the 96372 and the medication J code
 
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