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Extra Exam Sites and Seats Are Needed

As always, there are many more examinees at this time of the year than there are locations to accommodate them. We strongly encourage you to increase the number of seats at your existing exams, or even schedule an additional exam in December, if possible. We would be happy to open the scheduling tool if the […]

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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