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Thread: Billing for Orally Administered Drug in Office

  1. #1

    Default Billing for Orally Administered Drug in Office

    AAPC: Back to School
    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. #2


    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
    Join Date
    Apr 2007


    Is this ever reimbursed in the office setting?

  4. #4


    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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