I was told by a fellow co worker that Medicare allows an office visit with modifier 25 attached when billing an injection of a drug ( example Kenalog for allergies/rash) to get the adm fee 96372 paid. I disagree. I say content of service and modifier 25 should not be used. I know Medicare now covers adm fee on vaccines with OV w/ or w/o mod 25 for the adm fee, but I have never heard of adm fee getting billed and paid for by Medicare with OV with other injections , not vaccines. I am not talking about trigger points or injections into hips/ knees. Drugs like depo medrol, Kenalog, tordol that go into the IM.
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