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codecrazy

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My doctor is billing 99211 with dx V25.49 for a depo shot. This is denying. Any ideas how to correct this?
 
You do not bill a 99211 to give an injection you are to use the injection admin code with the j codes, If the reason for the injection is preventive then the denial is probably due to coverage for contraception. Many carriers do not provide this coverage.
 
Try billing the administration of the medication, I/M injection #96372, and the Depo itself, J1055. Also if your reimbursement is less than your aquisition cost, try appealing the reimb. rate with a copy of your invoice showing actual cost.
Bonny
 
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