If the Local Coverage Determination for 96372 says this...
"When the drug is purchased by the beneficiary, or when the drug was supplied without charge by the manufacturer, it should NOT be billed to Medicare by the provider, even with a submitted charge of $0.00."
How are you supose to bill for an injection when the pt supplies the meds to be injected. Will they accept just the 96372? And this says you cant aubmit the J code with a $0 charge??
We have direct supervision so the 99211 is not to the highest specificity for the service provided.
If anyone can provide a referecing document or point me in the right direction i would greatly appreciate it.
"When the drug is purchased by the beneficiary, or when the drug was supplied without charge by the manufacturer, it should NOT be billed to Medicare by the provider, even with a submitted charge of $0.00."
How are you supose to bill for an injection when the pt supplies the meds to be injected. Will they accept just the 96372? And this says you cant aubmit the J code with a $0 charge??
We have direct supervision so the 99211 is not to the highest specificity for the service provided.
If anyone can provide a referecing document or point me in the right direction i would greatly appreciate it.