Results 1 to 3 of 3

Administration Code Denying for Medicare

  1. Default Administration Code Denying for Medicare
    New Call-to-action
    Is anyone out there getting denials from Medicare when a patient comes in for an office visit and has an injection the same day. The office visit gets the modifier 25, but then Medicare is turning around and paying only for the administration (96372...) service and drug and not the office visit. Is this normal?

    Thank you for the input.

  2. Default
    I've not had any trouble with this scenario. I typically add modifier 25 to the office visit and modifier 59 for the admin of the vaccine. Hope this helps.

  3. Default
    Medical Billing
    Thanks for the help

Similar Threads

  1. Denying J Code, but pay for administration?
    By absolutanjul in forum Billing/Reimbursement
    Replies: 1
    Last Post: 10-11-2017, 01:09 PM
  2. Replies: 7
    Last Post: 09-02-2016, 02:28 PM
  3. Medicare denying the billing of code C1713 with the code 27279.
    By Lsteward in forum Billing/Reimbursement
    Replies: 3
    Last Post: 06-15-2016, 01:12 PM
  4. medicare denying code Z12.11
    By in forum Gastroenterology
    Replies: 16
    Last Post: 02-03-2016, 11:28 AM
  5. Medicare Administration Code
    By gloriajaye in forum Medicare Regulations
    Replies: 1
    Last Post: 06-20-2011, 09:42 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.