Advanced Search

Gastroenterology Coding Alert

READER QUESTIONS:

Remember These Rules for Patient-Supplied Injections

Published on Sun Jan 10, 2010

Question: A patient receives office injections for vitamin B12. She supplies the medicine. Do we need to include the supply code to get CPT 96372 paid? Alaska Subscriber Answer: Yes, you need to include the appropriate supply code: J3420 (Injection, vitamin B-12 cyanocobalamin, up to 1000 mcg). Even though the patient brings her own B-12 supply for injection, you risk getting an automated denial for the administration code (96372, Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) if you fail to include the supply code. Do not bill the carrier for the drug's cost, or else you become liable for fraud. Enter a charge of $0.01 (since line items with a zero charge may get missed or scrubbed from the claim) to reflect that the drug was given   but no charge is being billed for it. Error averted: If the reason for the office visit was [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Gastroenterology Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.