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Depo Provera injection

  1. #1
    Default Depo Provera injection
    Medical Coding Books
    I recently went to my gynecologists for my quarterly Depo Provera injection for dysmenorrhea. During this visit the nurse practitioner came in the exam room and asked if I was there for my injection (yes) and was I having any problems (no). There was no ROS done, no medications reviewed and no PFSH done, but they billed a 99212. When I called the office to dispute the claim based on lack of medical necessity for the office visit, I was told the office visit was billed based on MDM. This makes no sense to me, the MDM was done at my yearly in July not in February when I was there for the sole purpose of an injection. Everyone I have talked to feels this was billed incorrectly. Do you feel it was correct to bill this office visit?
    Thank You
    Lisa Harding

  2. #2
    There should not have been an office visit charged. I agree the MDM was made at the prior visit. I think the office where you recieved your injection should review their policy.

  3. #3
    Columbia, MO
    I would dispute this as well, call your insurance company, and request a copy of the documentation for audit.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    I agree with the people who have already responded in that there should not have been an E/M charged. If you have already spoken to the billing office/ coding supervisor I would request documentation from the visit and contact your insurance company. Now in the age of high-deductable insurance I check everything that shows up on my families statements and EOB's.

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