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Nurse visit/injection

  1. #1
    Question Nurse visit/injection
    Exam Training Packages
    I have a patient that came in for viral hepatitis vaccine. Can we charge a 99211, 90471 and 90633?

    Thanks,
    Sharon

  2. #2
    Location
    St. Louis, Missouri
    Posts
    262
    Default
    If the only reason that patient came in was for the injection, then you can only charge for the injection not an ov.

    Melissa Blow, CPC

  3. #3
    Smile
    Yes, we do bill for nurse visits/injections...

    99211, 90633, 90471....We do paid. Also was audit by an insurance company and was informed that it was correct billing.....

  4. #4
    Default
    Quote Originally Posted by YTHASKINS View Post
    Yes, we do bill for nurse visits/injections...

    99211, 90633, 90471....We do paid. Also was audit by an insurance company and was informed that it was correct billing.....
    That really surprises me, I agree with Melissa, why would you charge a nurse visit on top of the administration fee!

    What insurance did the audit...

    Roxanne Thames, CPC

  5. #5
    Smile
    HMO did the audit....

  6. #6
    Default
    It is inappropriate to bill a 99211 for an injection visit. Unless they are documenting a separate problem unrelated to the injection it is included in the administration charge.
    Rhonda Buckholtz, CPC, CPC-I, CGSC, COBGC, CEPDC, CENTC
    Vice President, ICD-10
    AAPC
    800-626-2633 ext 183
    814-673-7177
    Fax: 814-217-0447
    rhonda.buckholtz@aapc.com

  7. #7
    Smile
    Thanks Rhonda,
    I did verify this info and ALL 5 pt's charts had seperate problem unrelated to the injection.

    I will make sure that this is not being abused.....

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