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Billing for Orally Administered Drug in Office

  1. Default Billing for Orally Administered Drug in Office
    Medical Coding Books
    My doc (pediatrician) wants, in some cases, to administer oral antibiotic in the office. This would not be from free samples. I know this question has been asked before, but I did not see a direct answer to the question. How, or can, we bill for this orally administered antibiotic?

  2. Default
    Bill for the drug using the HCPC code. Most likely this will not change your level of E/M. Use modifer 25 with your E/M code.

  3. #3
    Is this ever reimbursed in the office setting?

  4. Default
    I didn't think there was a HCPCS code for orally administered antibiotics. In fact, I thought the only orally administered drugs in HCPCS were cancer treatment drugs. Where would I find the code for orally administered antibiotics?

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