Wiki First time coding for depo

[mauadajar]

Hello! How do I bill for the administration of depo? CPT and ICD9?
MA gave the shot. Physician in the office at the time. The medication was picked up. We are just billing for the administration. Thanks!

 

[jhwillis]

I'm assuming the indication is for contraception. CPT: 96372 ICD-9: V25.09 ICD-10: Z30.42

 

[mauadajar]

I am confused with 06372 and 99211. This article says, 99211 if no direct supervision from MD.

http://www.acog.org/About-ACOG/ACOG-Districts/District-II/Changes-in-Depo-Provera-Coding

 

[CodingKing]

This seems to qualify as direct supervision

http://www.palmettogba.com/palmetto...rsonally Performed~8EEL736213?open&navmenu=||

Direct Supervision - in the office setting means the physician must be present in the office suite and immediately available to furnish assistance and direction throughout the performance of the procedure. It does not mean the physician must be present in the room when the procedure is performed.

 

[mauadajar]

This seems to qualify as direct supervision

http://www.palmettogba.com/palmetto...rsonally Performed~8EEL736213?open&navmenu=||

Thank you for sharing the definition. I learn something new everyday. BTW, I just asked the MD, it turned out that the shot was given without the MD in the facility. He was doing surgery. So, 99211 then...


Here's the excerpt from ACOG....

"However, per CPT, it is not appropriate to report injection administration code 96372 without direct physician or other qualified health care professional supervision, unless administered in a hospital setting. In that case, report instead, code 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional), if applicable. "