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99211 how to get paid

  1. Default 99211 how to get paid
    Medical Coding Books
    At a Hemotology/Oncology office when we give pts injections (chemo) and its nothing more than one injection, the pt is seen on a regular basis anyway. During this injection the Dr. will ck on pts vitals and a nurse will also, we never get pd for this charge I need to know what I can do to start getting my office pd for this procedure any info would be appreciatied. Thank you.

  2. #2
    Columbia, MO
    You cannot charge a 99211 for a visit for an injection. Checking vitals is a part of the administration so you should be using the appropriate code for the administration plus the drug code and that is all.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    I agree with Deb. If the patient is coming in for a planned procedure (in this case the procedure is an injection), you cannot charge for an OV, even if it is a 99211. It is included in the CPT.

  4. Default
    I've had so issues with that. I have located the documentation requirements on the Trailblazers website at:
    see page 21

  5. #5
    Quote Originally Posted by View Post
    I've had so issues with that. I have located the documentation requirements on the Trailblazers website at:
    see page 21
    I found this helpful:

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