If I patient came in only for injection, lets say for testoterone shot & this was done by a nurse, what is the right way to bill this scenario? I know for a fact that when a patient only came in for injection nothing more, i can only bill for the administration (96372) & for the injection itself (J1070). But my supervisor always asked me what about the office visit code, can we bill for the ov. I always answered no, we can't bill for OV on this scenario. If I'm correct, I need person in authority & credential to give me advise & explanation so I can print it and show it to my supervisor. Thank you.
-
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 need help
- Thread starter ayen
- Start date
mitchellde
True Blue
I am not sure I qualify of a person of authority but:
You cannot charge an OV for a planned injection because
* The examination for the necessity of the ijection is already done and the nurse is carying out the produre ordered.
* All activity performed by the nurse is a part of the injection and the reimbursement includes this.
* A code for the injection exisits and that is what must be billed there is no substitute.
*compare this scenario to a physician givine a knee injection 20610) pt returns for a 2nd planned injection, the physician does not get to charge an OV only the injection, so this is really no different.
You cannot charge an OV for a planned injection because
* The examination for the necessity of the ijection is already done and the nurse is carying out the produre ordered.
* All activity performed by the nurse is a part of the injection and the reimbursement includes this.
* A code for the injection exisits and that is what must be billed there is no substitute.
*compare this scenario to a physician givine a knee injection 20610) pt returns for a 2nd planned injection, the physician does not get to charge an OV only the injection, so this is really no different.
Chanke
Guest
I am with a provider based facility that is designated as a rural provider, Medicare option II. Under this we bill a split bill and as such charge the vaccine code and a facility level charge (OV). But unless you are provider based under this rural option II, you cannot charge out an ov level code.