Wiki Addiction Recovery Billing

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Lhaney4

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Hello! I work at an addiction recovery office who give Vivitrol injections to our patients.
My bosses feel that we should be billing 99204 and 99214 more. I'm concerned that this is going to cause a lot of denials for our billing team. I rarely bill a level 4 because our patients come back every month and usually have no changes or concerns therefore are given the injection. (Also only have 1 diagnosis)

Right now patients come into our office with 1-2 addictions either opioid or alcohol (some occasions both).
We currently bill:
99203/99213 -25
J2315
Q3014 Telehealth with our NP/PA/MD at the time of office visit
96372
80305

Any thoughts would be very much appreciated!!
 
I would be careful about including other E/M codes in general besides 96372. If the visit is planned and the sole purpose of the visit was to administer the Vivitrol, then usually just 96372 is used especially if they are just seen by the nurse. If there is a complication or other problem out of the ordinary, then an E/M code can be used with physician supervision, but the documentation would really have to support the E/M, especially higher level codes, when it's just for a visit to administer an injection.

 
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