tci ED Coding & Reimbursement Alert - 2019 Issue 7

You Be the Coder: Check CCI When Coding E/M, Injection

Question: Thank you for your article last month about spring allergy coding. We have a follow-up question. We do report 96372 as you advised for epinephrine injections, but we have gotten denials when we report this code with E/M visits. What can we do in this situation? Supercoder Subscriber Answer: Before billing a procedure – such as an injection like 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) – with an E/M code, you should check the Correct Coding Initiative (CCI) to see if there is an edit involved in the two codes. Once...

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