DecisionHealth, DecisionHealth - 2016 Issue 9 (September)

Contact your payer about vitamin B-12 injections if billing issues persist

Question: I’m confused about billing vitamin B-12 injections. An elderly patient was receiving 2,000 mcg every two weeks because of health issues. Our practice began receiving denials stating that Medicare would only pay for 1,000 mcg, as stipulated in our payer’s local coverage determination (LCD). Now the LCD is retired. In the meantime, the physician wants the patient to receive 1,000 mcg weekly. Can anyone shed light on this for me?

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