Wiki Modifier for two different injections

[june616]

Pt came to office for testosterone injection only (no e/m visit) and also received a flu shot. The claim was billed as: 257.2, V04.81, 96372, 90471-59, 90658

96372 denied as "inappropriately coded" but I'm not sure what the issue is. Should I use a different modifier on on flu injection? We did not bill the testosterone b/c the pt brought it himself and we always just bill the admin code. Any help for getting 96372 paid? Thank you!

 

[mitchellde]

you need to list the J code anyway with either a $0 or $.01 charge

 

[june616]

Thanks for the quick response! I will add the J code and keep the -59 modifier and see how that works out.

 

[lreeves1979]

96372 would need the dx of 257.2 only. The admin for the flu shot would need only dx
V04.81. I would also bill J1070 with a $0 or $.01 charge to show that patient provided their own medication.