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Billing for Medications Brought into Office by Patient

  1. Default Billing for Medications Brought into Office by Patient
    Medical Coding Books
    Need guidelines for Billing the medications brought into an outpatient setting by the patient and administered in the office.

  2. Default
    code the 90000 administration codes. Can not code for the drug since patient is bringing their own

    If documentation supports, could also code 99211-25 but only if an additional separate service is provided.

    If they are there for a planned, scheduled injection, then code only the injection code(s)

  3. Default
    Thank you very much for your assistance. We have payors that will not pay the administration codes without the medication listed. Would we bill the medication with a GY Modifier?
    Last edited by tburdette; 06-11-2010 at 12:46 PM.

  4. Default
    I dont see that mod -GY would be appropriate.

    If they are denying the administration because no J code is coded, I would suggest coding the administration code with regular charge. And then also code J3490 (unlisted drug) with a charge of .01 cent

    See what other responses you get

  5. Default
    Thank you, I think I can push that through our system.

  6. #6
    You need to put the name and amount of the drug in the comment section.

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