Our docs do not use Propranolol. Are they injecting this into the hemangioma? If so, I would code 11900 and the code for propranolol.
Why is the patient in the office for hours? If the doctor documents that he/she is counseling the patient on the condition, reviewing the options of treatment, discussing the side effects of Propranolol, etc then consider time based billing---however, the doctor has to spend face-to-face time with the patient. If the patient receives an injection then they wait in the lobby to make sure the treatment worked or that there is not an allergic reaction then that wait time isn't face-to-face.
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