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Thread: B12 injection in the office

  1. #1

    Default B12 injection in the office

    What are the correct codes for the administration of B12, and the B12 itself? I've been using J3420 for the B12, and 90471 for the admin, for lack of a better code. Anyone know?

  2. #2
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    B12 admin code is 96372, 90471 is for immunizations.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3

    Default

    96372 is correct admin code for B12.

    Because B12 drug used for SubQ inj..... are u clear now

  4. #4

    Question B12 given in the office by the NURSE

    I understand from CPT that 96372 is to be used when there is "direct physician supervision". Otherwise 99211 is to be used. So when the B12 is given by the nurse, without the MD present in the room, I don't think 96372 is the right choice. But 99211 is an E/M code, and when only an injection is given, that doesn't qualify as an E/M in my opinion.

    Am I misunderstanding "direct physician supervision"?

  5. #5

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    I'm stuck on...if B12 is now on the Self-Administered Exclusion List for our carrier, does it require supervision if administered in the office (despite the fact that the patient will be responsible for payment)?

  6. #6
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    Quote Originally Posted by tfusco View Post
    I understand from CPT that 96372 is to be used when there is "direct physician supervision". Otherwise 99211 is to be used. So when the B12 is given by the nurse, without the MD present in the room, I don't think 96372 is the right choice. But 99211 is an E/M code, and when only an injection is given, that doesn't qualify as an E/M in my opinion.

    Am I misunderstanding "direct physician supervision"?
    Direct physician supervision means the physician is in the immediate office suite area, over the shoulder supervision means the physician is in the room with the nurse.

    Debra A. Mitchell, MSPH, CPC-H

  7. #7
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    Default b-12

    I know this is an old post, but how would you code b-12 injection given by nurse when Dr. is not on the premises.

    Thanks,
    Brenda

  8. #8
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    Freebee! To code a 99211 for a nurse encounter the physician must be within the immediate office suite area. I do not know why the AMA code book states to use the 99211.

    Debra A. Mitchell, MSPH, CPC-H

  9. #9
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    Default b-12

    Thanks Debbie,

    sorry a newbie. Can J3420 be coded by itself for a nurse visit?


    Brenda

  10. #10

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    BS denied the admin 96372 portion for a B12 inj stating it is inclusive in the E/M visit of the same day, claiming it to be a CMS guideline. Can anyone comment on that?

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