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help settle discussion

  1. #1
    Default help settle discussion
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    Can someone please direct me in the right direction to locate the guidelines that state: if you charge a OV, Injection, and adminstration code that the adminstration DX needs to be different from the OV and injection?

  2. #2
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    Quote Originally Posted by perkins05 View Post
    Can someone please direct me in the right direction to locate the guidelines that state: if you charge a OV, Injection, and adminstration code that the adminstration DX needs to be different from the OV and injection?
    If a significant separately identifiable evaluation and management service is performed, the appropriate E & M code should be reported utilizing modifier 25 in addition to the chemotherapy administration or nonchemotherapy injection and infusion service. For an evaluation and management service provided on the same day, a different diagnosis is not required.

    Page 35

    http://www.cms.gov/manuals/downloads/clm104c12.pdf

  3. #3
    Default
    Thanks for your help...but maybe I should give this example

    CC: Cough
    injection given
    Should adminstration be charged?


    or

    CC: chronic conditions F/U HTN DM
    during exam patient complains of cough - injection is given
    should the adminstration be charged?


    Thanks again for all the help

  4. #4
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    Columbia, MO
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    without the complete note it is impossible to give a definitive answer, however on the face of what is stated I will say it appears that yes you can charge the ov and the administaration code.

    Debra A. Mitchell, MSPH, CPC-H

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