Advanced Search

Urology Coding Alert

You Be the Coder:

Same-Day Injections

Published on Fri Mar 01, 2002

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer.   Question: When a patient has gentamicin and an injection of Zoladex the same day, how should I bill?

Rhode Island Subscriber


      Answer: Code for both. For the gentamicin, use 90788 (Intramuscular injection of antibiotic [specify]) and J1580 (Injection, Garamycin, gentamicin, up to 80 mg). Report 96400 (Chemotherapy administration, subcutaneous or intramuscular, with or without local anesthesia) and J9202 (Goserelin acetate implant, per 3.6 mg) for the Zoladex. Bill an office visit (99211-99215) also.
 
For Medicare, bill only the chemotherapy administration and the drugs. Code 90788 will be denied as included in the other services.
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 your eNewsletter
  • 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
*CEUs available with select eNewsletters.

Other Articles in this issue of

Urology Coding Alert

View All