Medical Billing Forum

General Category => General Questions => : JanK August 26, 2009, 07:06:54 PM

: coding
: JanK 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 . . . 

: Re: coding
: Michele 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

: Re: coding
: syllong 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.

: Re: coding
: Michele 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