Aug 9th, 2016 - amtartaglione 2
Emergency Room Visit 99283 w/Toradol Injection Administered
I am receiving contradictory information on whether the administration of an injection 96372 can be billed & reimbursed. Furthermore, would 96372 require modifier 59?
We are a FQHC with an ED & when I checked NCCI editor it did not show 96372 as a column @ code for 99283
The payer, AETNA has pended the claim for requiring medial notes
Claim was submitted with codes;
Thank you for any assistance you can provide