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coding

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JanK:
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:
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

syllong:
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:
You would bill the office visit (E&M code) with the sore throat diagnosis, then the tetnus shot with the routine vaccine diagnosis.

Michele

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