Office Visit and Injection

Allderm4045

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A patient comes in due to dermatitis, during the office visit we decide to do a Kenalog injection. Typically we would bill an office visit "either new or established" and bill for the injection/administration (J3301 x4 and 96372). We use EMA in house and when we do this type of visit; EMA always drops the office visit. Shouldn't we be able to bill for the office visit as well as the shot? Thank you for any assistance
 

CodingKing

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Are you adding the modifier 25 to the E&M. The workup for the dermatitis would be separately reportable since it doesn't overlap with the work for injection procedure.
 

Allderm4045

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Yes, we manually add the modifier because our EHR does not transfer the office visit code over to our Practice management software as it is bundling the o.v. with the procedure. The injection is being done due to the dermatitis so there is only one ICD10. Does that make sense? Thx again for your input
 
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