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Thread: testosterone shot at the same time as allergy shot

  1. #1
    Join Date
    Apr 2007

    Question testosterone shot at the same time as allergy shot

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Loma Linda,CA


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

  3. #3
    Join Date
    Apr 2007


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

  4. #4


    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
    Join Date
    Apr 2007

    Default thanks

    Thanks everyone

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