We have a patient with Medicare. He was recently placed on Trulicity which is usually a self-administered medication for treatment of diabetes. Patient states that he cannot give himself the shot and wants the Nurse to administer. My question is how can we bill for this? Would we be able to use the shot administration or 99211 code?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Injection Administration
- Thread starter cyarberry
- Start date
mitchellde
True Blue
No you cannot substitute the 99211 for injection administration. The administration of the medication must be ordered by the physician in a previous visit. Then you can bill this as the 96372 and use the J code for the drug. Since the patient is supplying the drug use a .01 charge. Now the issue will be since this is deemed a patient administed medication, most payers will not pay the administration charge, it will be patient responsibility, so be certain you have made the patient aware of this. If the provider did not write a plan in a previous encounter for the patient to return to the office for this service then truely the nurse should not be administering this injection.