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Thread: Help!!!

  1. #1

    Default Help!!!

    AAPC: Back to School
    My doctor is billing 99211 with dx V25.49 for a depo shot. This is denying. Any ideas how to correct this?

  2. #2


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

    CT ENT

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    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
    Join Date
    Apr 2007


    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.

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