Need some clarification. The practice I work at does injections on patients. The visit usually consist of an office visit to discuss the issue they are having, what sites to do the injections, other health issues that they are having and so on. In most cases these visit last longer and the doctor likes to bill based on time. We bill 99214, 99354 and then the injection codes. Almost all of the payers are denying 99354 as global. We also have the patients sign and ABN for these visits. The provider wants me to bill the patients for any services not covered by the ins companies including the global denial. My questions are....can we bill for global denials? Also is there a modifier to use to get the ins companies to pay the extended code?