Wiki Help!!!

[codecrazy]

My doctor is billing 99211 with dx V25.49 for a depo shot. This is denying. Any ideas how to correct this?

 

[jackjones62]

What's being denied? 99211 or the depo shot? or both?

Jennfer
CT ENT

 

[mitchellde]

You do not bill a 99211 to give an injection you are to use the injection admin code with the j codes, If the reason for the injection is preventive then the denial is probably due to coverage for contraception. Many carriers do not provide this coverage.

 

[codecrazy]

Thank you

Thank you for helping me out so quickly. You Rock!

 

[bonnyr]

Try billing the administration of the medication, I/M injection #96372, and the Depo itself, J1055. Also if your reimbursement is less than your aquisition cost, try appealing the reimb. rate with a copy of your invoice showing actual cost.
Bonny