Billing for injection codes
Compliance Monitor, February 10, 2006
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Q: Our hospital routinely bills an injection CPT code (i.e., 90782, now 90772) along with the specific drug HCPCS code. However, when the HCPCS code has the word "injection" in its title, is it appropriate to also charge the injection (e.g., J7188, Injection, Von Wilebrand factor complex, human, IU)?
A: When a drug J-code includes the term "injection," it is a merely a naming convention to indicate an injectable drug. It does not mean that the drug administration service is included in the drug J code. Therefore, always code and bill the drug administration service in addition to the J code for the drug.
Thanks to Valerie Rinkle, MPA, revenue cycle director for Asante Health System in Medford, OR.
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