Ob-Gyn Coding Alert
Injections
Rhode Island Subscriber
Answer: You should bill 99211 (office or other outpatient visit for the E/M of an established patient ...) only if a minimal E/M service was provided. If the only thing documented on the chart is the drug name, dosage and the fact that it was given, it is not a 99211 service and you should only bill 90782 (therapeutic, prophylactic or diagnostic injection [specify material injected]; subcutaneous or intramuscular). Medicare will not let you bill this code combination without documentation showing that the minimal E/M service was not related to the injection.
Ob-Gyn Coding Alert
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