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Thread: ICD-9 code for B12 Injection

  1. #1
    Join Date
    Apr 2007
    Posts
    66

    Default ICD-9 code for B12 Injection

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    Hi,
    I work for a home health care agency and we only use ICD-9 codes. I was wondering what ICD-9 code would be appropriate to use for the administration of a B12 injection? I'm assuming it's a V code, but can't find one appropriate. Please help ASAP! Thanks much!

  2. #2

    Default

    I'll wager an opinion here.

    I am not aware of any V code for a B12 injection. The correct ICD-9-CM code you use will be what condtion the patient has that you have to administer the B12 injection (i.e., pernicious anemia, etc).

    I used to work in the home health realm and my understanding has always been (unless things have changed and someone please correct me if they have), that CMS and most payers won't reimburse for a B12 injection unless the diagnosis is pernicious anemia.

    Hope this helps and again this is my opinion.
    Last edited by dballard2004; 02-07-2011 at 01:32 PM.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  3. #3
    Join Date
    Apr 2007
    Location
    Stuart, Florida
    Posts
    331

    Default

    As far as payment goes, I don't know about that, but I do agree that the icd-9 code needed is that of the condition which necessitates the B-12 injection.

    Please remember that we are not to code what we believe will be paid, but rather what is done and why. It worries me when someone makes a point to say that something will only be paid for a certain reason, because it may plant naughty ideas into someone's mind. What is covered will vary significantly from carrier to carrier and pernicious anemia is certainly not the only DX that will allow for reimbursement.
    Vanessa Mier, CPC

  4. #4

    Default

    Let me clarify something here.....

    I am in no way suggesting that this person code merely for the purpose of getting paid. I am just stating a coverage issue as I know it to be from my days of working in the home health field (and if the coverage policy has changed, please accept my apologies for my inaccurate info).

    This is why I make it clear in my posts that I am merely stating my opinion.

    Just my two cents.
    Last edited by dballard2004; 02-07-2011 at 02:16 PM.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  5. #5
    Join Date
    Apr 2007
    Posts
    66

    Default

    Thanks for your help. They are injections for pernicious anemia and that is what we used.
    Thanks again!

  6. #6

    Default B12 administration

    What administration code would be used? Discussion on whether the 96372 is appropriate or 99211 for nurse visit. Appears this effects the $ amount of patient copay.

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