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Billing E&M with IV infusion with extra liter

Good afternoon all,

Just had a question in regards to billing out a certain claim and am having trouble finding the answers through forum search. We had a patient in a doctor’s facility come in with flu like symptoms, patient had a shot of antibiotics, and then an IV infusion with an additional hour of IV afterwards. Now the problem I am having is all of the codes I am trying to bill out conflict, and I’m trying to figure out how to properly bill.

The codes I currently have are:

Code:

99213 mod 25 - E&M fee
96372 - injection fee
J0696,XGR1 - rocephin injection
96360 - IV infusion for 1 hr only which includes 1 bag
96361 - add'l 1 hr IV infusion
A4217 - supply code for add'l liter of IV


Even by adding a mod 25 on 99213, I still get an error thrown up on 96360 or the 96372. Am I overbilling one too many codes or is there a more appropriate modifier that I am not using correctly?

Thank you for your time!

Medical Billing and Coding Forum