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Out patient professional fee injection coding

  1. Question Out patient professional fee injection coding
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    We are an outpatient clinic setting (Orthopaedic Surgeons) billing for injection CPT code 20605. We as pro-fee (Orthopaedic Surgeons) are billing for it. The facility indicates that they can also bill for the same pro-fee service injection cpt 20605 along with room services E & M. Is that considerated double billing for the CPT code 20605?

  2. #2
    Columbia, MO
    The facility will bill the same 20605 code for the injection to recoup the facility fee. However they have rules for an E&M on the same day as a procedure same as the physician, and if this were a planned injection then they have no basis for a facility E&M.

    Debra A. Mitchell, MSPH, CPC-H

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