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Thread: Intramuscular injection w/ E&M

  1. #1

    Default Intramuscular injection w/ E&M

    I need a little clarification on billing 20552 for an intramuscular injection. Here is the scenario; A new patient come in for an E&M, during the exam, it is determined to give a DepoMedrol injection intramuscularly in the deltiod. Can I bill for a New patient E&M with a -25 modifier, 20552 and the J code for the DepoMedrol?

  2. #2
    Join Date
    Apr 2007
    Posts
    15

    Default

    Why wouldn't you use 96372 for the injection code vs 20552 which is a trigger point injection?

  3. #3
    Join Date
    Apr 2007
    Location
    Atlanta
    Posts
    335

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    Quote Originally Posted by gflippen@danvilleortho.com View Post
    I need a little clarification on billing 20552 for an intramuscular injection. Here is the scenario; A new patient come in for an E&M, during the exam, it is determined to give a DepoMedrol injection intramuscularly in the deltiod. Can I bill for a New patient E&M with a -25 modifier, 20552 and the J code for the DepoMedrol?
    Yes you can.

  4. #4

    Default

    It's my understanding that you could use 96372, but that 20552 would also work in this scenario.

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