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Thread: Billing for Medications Brought into Office by Patient

  1. #1

    Default Billing for Medications Brought into Office by Patient

    AAPC: Back to School
    Need guidelines for Billing the medications brought into an outpatient setting by the patient and administered in the office.

  2. #2


    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. #3


    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. #4


    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. #5


    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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