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testosterone shot at the same time as allergy shot

  1. #1
    Question testosterone shot at the same time as allergy shot
    Medical Coding Books
    how would I bill the patient coming in for his testosterone shot and also his allergy injection at the same code. we billed it as 95117 and 96372, no j code due to the patient providing the testosterone. Insurance paid the allergy injection but denied the 96372. any advice?

  2. #2
    maybe rebill with modifer 59 and send documentation to support both injections

  3. #3
    What was the denial reason?
    Herbie W Lorona Jr., CPC, CPC-H

  4. Default
    They are most-likely denying thinking you are double coding for one injection. But what some coders/billers are findings is the payers are denying the injection when no drug is billed. So,

    Code the 95117 for the allergy injection with the allergy DX

    Code 96372-59 for the testosteron injection at regular fee
    Code J10xx for the testosteron drug itself. But bill at .01 cent since pt brought in his own drug
    Code both with the appropriate DX

  5. #5
    Default thanks
    Thanks everyone

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