Wiki Psychiatric Injection CPT codes

[KristenB]

Are there any CPT codes that can be used in a psychiatric outpatient office setting for injections? (Invega Sustenna, Suboxone, etc) Should HCPCS codes be included with this also?

Also, if a nurse is performing the injection is 99211 used alone?
Would insurances reimburse for an E/M with modifier -25 in addition to 96372 if a nurse is performing the injection? Is it required for a physician to be present?


Also, if blood is being drawn to be sent to an outside lab is it possible to be reimbursed for 36415 or is this considered inclusive of an E/M code? And can this be done by a nurse?
Are there any modifiers required for 36415 in this situation?

 

[CodingKing]

Are there any CPT codes that can be used in a psychiatric outpatient office setting for injections? (Invega Sustenna, Suboxone, etc) Should HCPCS codes be included with this also?

Also, if a nurse is performing the injection is 99211 used alone?
Would insurances reimburse for an E/M with modifier -25 in addition to 96372 if a nurse is performing the injection? Is it required for a physician to be present?


Also, if blood is being drawn to be sent to an outside lab is it possible to be reimbursed for 36415 or is this considered inclusive of an E/M code? And can this be done by a nurse?
Are there any modifiers required for 36415 in this situation?

There should be no E&M if the reason for the visit is the injection as the work is covered in the 96372. 36415 can be billed separately without a modifier but many payers bundle if E&M is on same DOS.