fia.williams
New
My claim doesn't have a separately identifiable service. Can I just bill the E/M code with J3301 or do I have to bill 96372?
Thank you both! My client thinks I should bill both the E/M code and 96372. I've found some documentation but nothing that specifically says I can't bill the E/M in place of the 96372. This only matters because we are an RHC clinic and they only get paid when certain codes are billed and 96372 is not one of them.bill on 96372 for injection only unless they have another complaint
I explained in our last meeting that they may want to put it on a cost report but have not heard anything. There seems to be some discrepancy with the understanding of inherent coding and what is considered separatelly identifiable. The way I understand it, I can't add an E/M code just because the patient came in the door and vitals were ran and an injection given for the reason they came in. Sometimes the reason is the same as the reason for the injection and sometimes it's not the same but nothing was done, i.e. labs, Rx, etc. but they are telling me I can charge an E/M for the before mentioned reasons. I'm not sure who is right but I'm going to find an answer somewhere.I also work for an RHC, you can only code for the 96372 if there is nothing to support an E/M. I believe if no encounter rate (E/M visit) it more than likely goes on a cost report on the back end.