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Help!!!

  1. #1
    Default Help!!!
    Exam Training Packages
    My doctor is billing 99211 with dx V25.49 for a depo shot. This is denying. Any ideas how to correct this?

  2. Default
    What's being denied? 99211 or the depo shot? or both?

    Jennfer
    CT ENT

  3. #3
    Location
    Columbia, MO
    Posts
    12,569
    Default
    You do not bill a 99211 to give an injection you are to use the injection admin code with the j codes, If the reason for the injection is preventive then the denial is probably due to coverage for contraception. Many carriers do not provide this coverage.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Talking Thank you
    Thank you for helping me out so quickly. You Rock!

  5. #5
    Smile
    Try billing the administration of the medication, I/M injection #96372, and the Depo itself, J1055. Also if your reimbursement is less than your aquisition cost, try appealing the reimb. rate with a copy of your invoice showing actual cost.
    Bonny

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