I checked this morning on our Medicaid website's fee schedule and they show that they pay $0 for the 96372 injection code. They will pay for the depo medication but they do not reimburse enough to pay for what our office pays for it. That is why our doc started having them bring their own depo medication. Also that is when they were billing the 99211 so they were getting paid for the visit. After I advised them that was inappropriate code and we changed to 96372, then we were getting paid only for the depo meds considerably below our cost, and when they bring their own, we get paid nothing. Any further ideas to solve this issue, would be greatly appreciated.
Addendum: I see that the depo J code was deleted starting January in the HCPCS coding book. It is now J1050. I just checked that code on the Medicaid Fee schedule website and it shows they pay $0 for that now too.
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