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Depo Shot question

  1. #1
    Smile Depo Shot question
    Medical Coding Books
    How do you bill for this shot when the patient brings it in themselves? If we provide it(by the nurse) who would it be billed? Thanks! Lisa!

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    If the patient brings the medication you would code 90772 only. If you provide the medication you would bill the appropriate J code and 90772.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Default
    Thanks Lisa! If the nurse adminsters- I can also bill the 99211 right?

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default No
    No, you can't code 99211 if the reason for the visit is the shot. Nursing time is built into the adminstration codes.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Default
    OK- thanks Lisa!

  6. #6
    Default
    Lisa- what information needs to be documented to bill?

  7. #7
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    There needs to be a separate reason to bill 99211 (you would need modfier -25).
    Lisa Bledsoe, CPC, CPMA

  8. #8
    Default
    We have a Routine Injection sheet that we have the nurses file out every time they do an injection.

    Rebecca

  9. #9
    Default
    Just an FYI...90772 was deleted in 2009 codes for therapeutic injections can now be found in the 96365-96379 section of CPT.
    Christina Lee Wagner, CPC, CPC-H

  10. #10
    Location
    Columbus, Ohio
    Posts
    89
    Smile
    Be careful when using the new injection codes. It states "Physicians, DO NOT use 96372 for injections given w/out direct supervision by the physician. To report use 99211. Hospitals may use 96372 when the physician is not present". I have to use 99211-FP to bill Medicaid w/ all of our injections and have never had problems. So we'll see how it goes w/ all of the other Ins Co.


    Karey, CPC

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