Wiki 96372 and E/M

[Jodia]

Question involves E/M and injections on the same day. Patient sees provider for sinusitis and provider decides to give a J0696 (Rocephin) injection. Do we bill the 99213 with modifier 25 and 96372 plus J0696 or do we bill 99213 and J0696 as the injection CPT is part of the providers workup.

Can you also direct me to some clear guidelines on this subject.

 

[roryash]

Question involves E/M and injections on the same day. Patient sees provider for sinusitis and provider decides to give a J0696 (Rocephin) injection. Do we bill the 99213 with modifier 25 and 96372 plus J0696 or do we bill 99213 and J0696 as the injection CPT is part of the providers workup.

Can you also direct me to some clear guidelines on this subject.

I code for Internal and Family medicine and I would code 99213-25 with the 96372. The only time I would not is if the HPI stated the patient comes in for an injection only (most of the time you see it in recurring ortho injections)