Wiki Injection and admin on same day as ov - append modifier 25

[houmaob1714]

If a patient comes in for sinus issues and the doctor decides based on the syptoms to give the patient an injection, is it appropriate to bill:

99212-25
J0702
96372

 

[Jennikate]

I would say yes. THat's how we bill that.

 

[Jlyak@live.com]

yes we have people come in all the time for sinus issues, etc and administer a drug sample for them. we bill the 96372 with office visit

 

[kbromley]

I bill this the same way however, lately I have been seeing denials from Amerigroup, BCBS and Medicare. Anyone else having this issue? I am using the modifier -25 . The denial code I received from Amerigroup was N381 and CO-45. BCBS was only denial code CO-45. Which is the allowable denial correct? Any information would be appreciated.

 

[Dridgway]

yes

 

[susanock]

I bill this the same way however, lately I have been seeing denials from Amerigroup, BCBS and Medicare. Anyone else having this issue? I am using the modifier -25 . The denial code I received from Amerigroup was N381 and CO-45. BCBS was only denial code CO-45. Which is the allowable denial correct? Any information would be appreciated.

I'm having this same problem and denial with BCBS, have you had a response, please?