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Billing for a Nurses visit

  1. Smile Billing for a Nurses visit
    Medical Coding Books
    Help, new to the forum. Would love to get everyones opinion.
    We have been billing for B12 injections this way: When they are only seeing the nurse:
    99212 & 96372 & J3420
    From all of the posts I have been viewing, it seems as if you may not be able to do it this way? Thanks Everyone

  2. Default
    Quote Originally Posted by slosacco View Post
    Help, new to the forum. Would love to get everyones opinion.
    We have been billing for B12 injections this way: When they are only seeing the nurse:
    99212 & 96372 & J3420
    From all of the posts I have been viewing, it seems as if you may not be able to do it this way? Thanks Everyone
    NO NO NO NO NO!!!!!!!!!! If the patient is being seen for a scheduled injection, you CANNOT charge an E?M and especially a level 2 at that.

  3. #3
    Default
    Oh my.
    Mickie Kummer, CPC, CPMA, CRC, CPC-I, AAPC Fellow

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    I absolutely agree! You cannot charge anything above a 99211 for a nurse only encounter and you cannot use a 99211 for an injection visit. And you cannot charge for any of it if the physician is not in the office setting while the patient is there. The provider has already examined the patient and determined the necessity for the injection and therefore you may not charge for it again. Vital signs or anything else performed by the nurse are a necessary part of the injection, and when a CPT code exisits for the service performed you must use that code. So you bill the 96372 plus the drug.

    Debra A. Mitchell, MSPH, CPC-H

  5. Default
    Thank you very much for the response.

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