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Administration of sample drug

Tammy Posted Tue 26th of March, 2019 08:44:13 AM
We gave a patient an injection of a Xyosted sample. We are billing an e/m code. Can we bill administration of the drug? If we can, how would we document the medication if we are not billing for it?
SuperCoder Answered Wed 27th of March, 2019 03:40:17 AM

Hi Tammy,

 

Please bill drug code with $ value of 0.00. This will let payer know that you are not asking for reimbursement for the drug, but for the administration. Bill the appropriate administration code.

 

If you are billing an E&M code along with the drug administration code, you need to be sure about the below mentioned points:

 

  • If the intent of the E&M visit is about performing injection procedure only, E&M visit code would not be billed as per coding guidelines. Only the drug code along with drug administration code will be billed in this scenario.

 

  • If during the E&M visit provider decides administration of injection, then both services can be billed together.

 

Hope provided information would be helpful.

 

Thanks!

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