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99211 and 99406

  1. Default 99211 and 99406
    Medical Coding Books
    Can these be reported together if the counseling is separate from nurse administered inj, but for the same diagnoses/symptom?

  2. #2
    I say no
    99406-25, injec code, drug
    this is my sugg

    Quote Originally Posted by Adrienne Pavan View Post
    Can these be reported together if the counseling is separate from nurse administered inj, but for the same diagnoses/symptom?
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  3. #3
    Duluth, Minnesota
    I'm not sure why you'd be charging an office visit for a nurse visit injection only? It's my understanding that if it's a nurse visit for an injection/vaccination only - then that's all that would be coded and billed (drug and adminstration of it). (Or perhaps your nurses document enough information unrelated to the injection being given that it supports a 99211?) That being said, I agree with racheleporter; I don't think they can be billed together, I think the 99406 needs the .25 modifier on it and bill/code out the drug and adminstration of it.

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