tci Part B Insider - 2010 Issue 44

Reader Questions: Know the Rules for 'Calming Shots'

Question: One of our patients was on his way to have an MRI at the hospital. He stopped by our office and asked for a shot of "something" to help calm his nerves. The nurse administered an injection of Diazepam; the patient did not see the physician. Can we bill the injection in addition to an E/M service? What diagnosis would apply?Answer: If the nurse provided some evaluation and management of the patient in addition to administering the Diazepam injection, then begin by coding an appropriate E/M service. In this scenario, the most likely E/M code is 99211...

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