Administration code?

Hello,

Can we bill cpt 90471 when a Doctor gives a B12 injection to a patient? If two different injections are given on the same day, do we need to bill cpt 90471 twice? Your help is greatly appreciated.

administration code

No, 90471 is ONLY for immunizations.

Look at 96372. These are billed with each injection.

CPT 90471

A patient came in for the flu vaccine, can I bill as follows 90658 for the vaccine and 90471 for the administration? If the Doctor gives the vaccine to the patients can we still use 90471 although it states this procedure is to be used when there is no Physician supervision, for example if nurse gives the vaccine we can use it but not a MD or DO. Please clarify this misunderstanding that everyone in the office seems to be having trouble with. Also if patient recieves two Immunizations would we bill 90471 twice or only once?

Injection

96372 for B12 injection
What are the two different injections? Coding depends on substances injected.

Injections

One of the other injections the MD uses often is Decadron. If the patient had a B12 injection does it require an administration code or a J code?

injections

You should read the articles in the database (search via keywords above "look it up." and also look at the CPT book itself, at the start of each section.

In short: administration of immunizations are billed with 90471 for the first, 90472 for each additional administration by the same route. The nurse can do it. Don't bill a nurse visit with this if the patient comes in just to have the admin done. CPT descriptions are literal: if it says, "each additional" then you bill it again.

Flu vaccines for Medicare have different codes. You can easily search for these on this site: they've been listed in older Q&A forums. (If non-Medicare, then, yes, 90471 for the admin.)

If you bought the serum, bill for it as well: look in the vaccine section for the entire list of vaccines. If you got the serum for free, bill only the administration.

For non vaccines, use the injection administration code. Bill also for the medicine: you need to look those up in a HCPCS book, and they start with the letter J. Pay attention to units and bill the correct number of units.

re: Administration code?

How would you code 2 kenalog injections 40 mg each on the same visit but on different sites the knee and foot ?