help settle discussion

[perkins05]

Can someone please direct me in the right direction to locate the guidelines that state: if you charge a OV, Injection, and adminstration code that the adminstration DX needs to be different from the OV and injection?

 

[RebeccaWoodward*]

Can someone please direct me in the right direction to locate the guidelines that state: if you charge a OV, Injection, and adminstration code that the adminstration DX needs to be different from the OV and injection?

If a significant separately identifiable evaluation and management service is performed, the appropriate E & M code should be reported utilizing modifier 25 in addition to the chemotherapy administration or nonchemotherapy injection and infusion service. For an evaluation and management service provided on the same day, a different diagnosis is not required.

Page 35

http://www.cms.gov/manuals/downloads/clm104c12.pdf

 

[perkins05]

Thanks for your help...but maybe I should give this example

CC: Cough
injection given
Should adminstration be charged?


or

CC: chronic conditions F/U HTN DM
during exam patient complains of cough - injection is given
should the adminstration be charged?


Thanks again for all the help

 

[mitchellde]

without the complete note it is impossible to give a definitive answer, however on the face of what is stated I will say it appears that yes you can charge the ov and the administaration code.