Wiki Patient's own medication question

[Jchianca]

When a patient comes into the office with their own medication we usually bill out the J code with .01cent along with 96372. How do we avoid getting paid the .01 cent? Is there a modifier we can use on the drug itself?
Any help would be appreciated.

 

[thomas7331]

There’s no need to avoid getting paid the one cent. It would cost you a lot more than a penny more to try to avoid it. Just let it go - payers and auditors aren’t concerned with amounts that small.

 

[Jchianca]

There’s no need to avoid getting paid the one cent. It would cost you a lot more than a penny more to try to avoid it. Just let it go - payers and auditors aren’t concerned with amounts that small.

Thank you. It's just causing the payment poster a lot of work having to adjust off so many pennies each month.

 

[amyjph]

There should be a way to automate it in your practice management system so a person doesn't do that manually.

 

[michellem9993]

When we see a patient that brings in their own meds we put the NDC of the drug injected on the line of the injection charge- 96372.

 

[cmcevoy]

When we see a patient that brings in their own meds we put the NDC of the drug injected on the line of the injection charge- 96372.

We had rejections/denials for NDC on 96372 so we submit the Jcode w/ $0.01 charge

 

[csperoni]

When we see a patient that brings in their own meds we put the NDC of the drug injected on the line of the injection charge- 96372.

Most insurance carriers will not pay 96372 without a corresponding Jcode. That is why the recommendation is to submit the Jcode with $.01 fee (many EHRs/clearinghouses won't submit zero charges without coercion). And then the NDC would go on the Jcode.

 

[michellem9993]

Most insurance carriers will not pay 96372 without a corresponding Jcode. That is why the recommendation is to submit the Jcode with $.01 fee (many EHRs/clearinghouses won't submit zero charges without coercion). And then the NDC would go on the Jcode.

Maybe the rules are different as I bill for FQHC.