Forum - Questions & Answers

Jun 26th, 2014 - abdaniel

preventive vist

Can you bill a preventive visit with a 25 modifier if also administering a depo shot at the same visit?

Jun 26th, 2014 - CodapediaMsgBoard 96 

re: preventive vist

Probably depends upon the payer. You can most likely get paid for the J code for the drug, but the administration code will probably be bundled into the E/M.

Jun 30th, 2014 - Codapedia Editor 1,399 

re: preventive vist

If you do this frequently, I'd test the payers and keep a grid to see who does and doesn't allow. There shouldn't be an edit between a preventive medicine service and the depo injection, but payers develop their own edits, unfortunately.



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