abazcoder
Networker
I would like to know what the general consensus is when it comes to billing injections and E&M visits together.
It is my understanding that it is allowable to bill for an E&M visit with most injections (like Marcaine for instance) provided the 25 modifier is appended to the E&M code.
With injections such as Synvisc & Hyalagan (where you know you have a patient coming in for a cycle of shots)
I was told it was only appropriate to bill the E&M code on the 1st injection~
and for the remaining 4 in the cycle.....just bill the injection.
A co-worker of mine was asking whether this is a hard & fast rule though....
what if the doctor has more extensive documentation?
Is it ever appropriate to bill for E&M with these more specialized injections?
Under what circumstances?
Thanks for your help!
Amy B.
CPC
It is my understanding that it is allowable to bill for an E&M visit with most injections (like Marcaine for instance) provided the 25 modifier is appended to the E&M code.
With injections such as Synvisc & Hyalagan (where you know you have a patient coming in for a cycle of shots)
I was told it was only appropriate to bill the E&M code on the 1st injection~
and for the remaining 4 in the cycle.....just bill the injection.
A co-worker of mine was asking whether this is a hard & fast rule though....
what if the doctor has more extensive documentation?
Is it ever appropriate to bill for E&M with these more specialized injections?
Under what circumstances?
Thanks for your help!
Amy B.
CPC