Page 1 of 2 12 LastLast
Results 1 to 10 of 15

Nurse service Injection

  1. Default Nurse service Injection
    Exam Training Packages
    I have a patient that is going to come in for a injection from the nurse. It's her own medication Hydroxyprogestone. Is is appropriate to bill 99211 and do I need a modifier attached?

    Thank you
    Nichole

  2. #2
    Default
    The only thing you would bill for is the injection administration - 96372. Since that is the only code, you wouldn't need a modifier.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  3. #3
    Location
    Kansas City, MO
    Posts
    751
    Default
    Pam is correct and some payers require you to enter the name of the drug and NDC number for patient supplied medications.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

  4. Default Nurse service Injection
    I didn't think I could use 96372 since it says not to report if injection is given without direct physician supervision.

    Nichole

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    If the physician is in the office/building you can. The physician does not have to actually "watch" the nurse give the injection. Think of "direct supervision" more in terms of "direction of", meaning the injection was ordered by the physician for the nurse to give. Does that help?
    Lisa Bledsoe, CPC, CPMA

  6. Default Nurse injection
    Thanks for your help!!

    Nichole

  7. #7
    Default injection
    So, I get that if the physician is not in the office, can't report the 96372, but would you then report the 99211? I'm getting conflicting feedback on this. Some say you can't use it if the Dr is not in the office, but if you can't then what would you charge if you can't do the 96372 or the 99211? I'm so confused!!

  8. #8
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Based on the revised text in CPT I think it means the nurse should code 99211. But to code 99211 there has to be some documentation as to why the patient is being seen by the nurse. Look at this link from TrailBlazer on 99211 documentation requirements:
    http://www.trailblazerhealth.com/Pub...9211JobAid.pdf
    Lisa Bledsoe, CPC, CPMA

  9. #9
    Default
    If the doctor is not in the office, you couldn't bill 99211 either. Any time the nurse is providing a service and it gets billed out under a doctors number, that is an "incident to" service and needs to be under direct supervision, so a doctor has to be readily available (in the office or building) in order for it to be billed. If they are just giving an injection, the injection administration would be billed instead of 99211.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  10. #10
    Location
    Greeley, Colorado
    Posts
    2,045
    Red face
    Quote Originally Posted by bpct6501 View Post
    If the doctor is not in the office, you couldn't bill 99211 either. Any time the nurse is providing a service and it gets billed out under a doctors number, that is an "incident to" service and needs to be under direct supervision, so a doctor has to be readily available (in the office or building) in order for it to be billed. If they are just giving an injection, the injection administration would be billed instead of 99211.
    Excellent point Pam! What was I thinking?!
    Now that I read the "revised text" it is kind of redundant... "Physicians do not report 96372 without direct physician supervision". What does that mean?
    Lisa Bledsoe, CPC, CPMA

Page 1 of 2 12 LastLast

Similar Threads

  1. nurse visit and injection
    By masseytc in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 06-25-2015, 05:49 AM
  2. Injection given by nurse question
    By ssmith612 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-27-2012, 10:15 AM
  3. Nursing Service with injection only
    By cnramsey in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-04-2009, 04:52 PM
  4. Nurse visit/injection
    By sstone in forum Family Practice
    Replies: 6
    Last Post: 02-17-2008, 06:36 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.