Wiki Patient's own medication question

Jchianca

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When a patient comes into the office with their own medication we usually bill out the J code with .01cent along with 96372. How do we avoid getting paid the .01 cent? Is there a modifier we can use on the drug itself?
Any help would be appreciated.
 
There’s no need to avoid getting paid the one cent. It would cost you a lot more than a penny more to try to avoid it. Just let it go - payers and auditors aren’t concerned with amounts that small.
Thank you. It's just causing the payment poster a lot of work having to adjust off so many pennies each month.
 
When we see a patient that brings in their own meds we put the NDC of the drug injected on the line of the injection charge- 96372.
Most insurance carriers will not pay 96372 without a corresponding Jcode. That is why the recommendation is to submit the Jcode with $.01 fee (many EHRs/clearinghouses won't submit zero charges without coercion). And then the NDC would go on the Jcode.
 
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