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Thread: Injection at office, then initial hospital care

  1. #1
    Join Date
    Apr 2007

    Default Injection at office, then initial hospital care

    AAPC: Back to School
    patient is admitted to hospital, but had an injection of Lasix in the physician's office prior to being admitted. Do I code 99221 and injection code with modifier 25?

  2. #2
    Join Date
    Apr 2007
    First Hill, Seattle WA

    Default Hospital admission w/ injection prior

    As per the CPT 2008 "pt admitted to hosptial as inpatient in the course of an encounter at another site (physician office) all E/M services provdied by that dr in conjunction w/ the admit are considered part of the initial hospital care when on the same date as the admit. "
    Bothell Wa

  3. #3


    I agree that the E/M visit cannot be billed when the MD will receive an initial hospital visit for that DOS. However, my question is can you pick up a 96372 for an IM injection plus the J code for the drug injected during the office encounter? I was thinking no, but wanted to clarify. Thank you for your time!

  4. #4
    Join Date
    Apr 2007
    Greater Orlando

    Smile Give it a try!

    According to CPT and Ingenix " All services " are included in the admit code. However, it is vague at best. You could try billing the injection with the modifier 25 and see what happens. Good luck!

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