Author Topic: coding  (Read 2322 times)

JanK

  • Newbie
  • *
  • Posts: 3
coding
« on: August 26, 2009, 07:06:54 PM »
I recently billed procedure #64405 (Injection - occipital nerve) with the #96372 (Administration) code.  The #96372 code was denied - do I need a modifier? 

Thx for your input . . . 

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: coding
« Reply #1 on: August 27, 2009, 10:21:05 AM »
Since the 64405 code is for an injection I don't think you are suppose to be billing for the administration, 96372 additionally.  Usually the administration code is used for when you are billing for a substance and the 96372 indicates administration of the injectable substance. 

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

syllong

  • Newbie
  • *
  • Posts: 2
Re: coding
« Reply #2 on: August 29, 2009, 11:05:50 PM »
What is the correct way to bill for an office visit for sore thorat, the patient needed a tetnus injection for school as well.

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: coding
« Reply #3 on: August 31, 2009, 10:41:59 AM »
You would bill the office visit (E&M code) with the sore throat diagnosis, then the tetnus shot with the routine vaccine diagnosis.

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Medical Billing Forum

Re: coding
« Reply #3 on: August 31, 2009, 10:41:59 AM »