• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki PRP Injection with Office Visit

Create Wiki
A

adunlap23

Guru
Messages
177
Location
Centre Hall, PA
Best answers
0
How do billing rules apply to the following situation...

The patient comes in for a preplanned PRP injection. The patient paid for the PRP.

If I were billing the injection, the E/M visit would not be billed. However, since the patient paid for the PRP, then no injection is being billed. Would it be appropriate to bill the E/M visit or would that be considered double dipping?
 
Last edited:
Double dipping. A cursory exam is included in any injection regardless if the patient pays for it or not. So unless you have something to qualify for an E/M you can't bill it anyway. Additionally, this was a pre-planned injection so no E/M at the injection visit. The decision for the injection has already been made.
 
You must log in or register to reply here.
Top