Forum - Questions & Answers

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;
99283
96372
J1885

Thank you for any assistance you can provide



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