Hi everyone,
I am having a problem getting paid on our visits that are shots only. Since our docs are the only ones that give shots and they do a quickie exam before giving them to make sure the child is healthy enough I bill a 99212 along with whatever immunization it is. I don't use the admin code because I was taught that you can only bill one or the other (either the 99212 or the admin) but not both.
Two things are happening. Either they deny the 99212 totally and only pay the shot or they kick the 99212 over to the pt and consider it a well visit since a v code is used and there is no sick dx. But it's not a well visit either.
What am I doing wrong here?
Thanks in advance and I look forward to getting to know everyone.
K
I am having a problem getting paid on our visits that are shots only. Since our docs are the only ones that give shots and they do a quickie exam before giving them to make sure the child is healthy enough I bill a 99212 along with whatever immunization it is. I don't use the admin code because I was taught that you can only bill one or the other (either the 99212 or the admin) but not both.
Two things are happening. Either they deny the 99212 totally and only pay the shot or they kick the 99212 over to the pt and consider it a well visit since a v code is used and there is no sick dx. But it's not a well visit either.
What am I doing wrong here?
Thanks in advance and I look forward to getting to know everyone.
K