BC Advantage - 2015 Issue 5

Billing injections on the same day as an E/M service

But increasingly, payers are being just as reflexive when it comes to denying the E/M service, saying that it's bundled into the injection.What's the truth? While there are many instances when the E/M service is bundled into the injection service, there are probably just as many instances when these denials can and should be successfully appealed, based on additional treatments or services being rendered during the visit.For purposes of this article, we'll focus on common musculoskeletal injections, such as those in the 20500-20612 code range. CPT guidelines do not allow these minor procedures to be billed on...

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