Page 2 of 2 FirstFirst 12
Results 11 to 14 of 14

Modifer 25 and Injections

  1. #11
    Medical Coding Books
    If the only reason the patient is coming in is for the injection, bill the med and the administration code only.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    National Advisory Board Member 2018-2021, Region 6 Great Lakes
    Minneapolis AAPC Chapter, Education Officer 2018
    AHIMA ICD-10-CM/PCS Trainer
    AAPC National ICD-10 Trainer

  2. #12
    You indicate that you think a 25 modifier needs to be applied to the E/M code. We don't charge for the administration injection codes when the patient also sees a provider on the same date. You would then only charge the E/M (no modifier needed) and injection(s).
    Jutta Whipkey, CPC

  3. #13
    You cannot bill the nurse visit 99211 with the therapeutic injection 90772 (which is actually 97632 for this year 2009) because this injection is given with direct physician supervision where as the nurse vist 99211 is stating without physician supervision. So I would not append a modifier 25 or report the nurse visit 99211 at all with this particular injection code.

    Hope this helps...
    TJ Smith, CPC
    Cheyenne Physicians Group
    Cheyenne, WY

  4. #14
    Columbia, MO
    That is correct, you do not report the 99211 to give an injection because the code is for the administration of the serum which includes all nursing management and supervision.

    Debra A. Mitchell, MSPH, CPC-H

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Using modifer QW
    By sluke9 in forum Modifiers
    Replies: 1
    Last Post: 03-30-2015, 09:17 AM
  2. Replies: 3
    Last Post: 08-13-2014, 10:27 PM
  3. Modifer Help????
    By in forum Modifiers
    Replies: 0
    Last Post: 02-28-2014, 11:01 AM
  4. 78 OR 79 modifer
    By churst21 in forum Modifiers
    Replies: 3
    Last Post: 10-19-2012, 07:08 PM
  5. Replies: 2
    Last Post: 10-27-2011, 02:06 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?


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.