Recently one of our physicians documented a planned injection for erectile dysfunction (54235) with an office visit for what he documented as an additional 20 minutes of counseling and education for the ED and medication use. Total time spent on the visit was a documented 30 minutes. Generally we only charge for the injection, as the session is planned, stays relatively short, and the patient provides the medication. Wondering if it is okay to also bill for the office visit to cover the extra time spent in counseling/education or if that is bundled into the injection code regardless of how much time was spent with the patient overall.