Coding B12 Injections - ?add 99211

[Guest guest]

I believe this was asked before, but....are you coding a 99211 visit for B12 injections or only the 90772 for injection and the J3420 for the B12?

I guess this gets back to the idea that the patient would have to pay a co-pay if you do an E & M code -- which some (patients and docs) feel is unreasonable.

http://www.aafp.org/fpm/20070700/coding.html

Vitamin B12 injections

Q What codes should we report for a vitamin B12 injection?

A Subcutaneous and intramuscular injections should be reported with code 90772 in addition to the code that identifies the medication injected. Vitamin B12 should be reported with code J3420, which represents up to 1,000 mcg per unit. Many Medicare carriers have made local coverage decisions regarding vitamin B12 injections that provide reimbursement only for patients with certain types of anemia and other conditions. Check with your carrier and, if indicated, ask the beneficiary to sign an Advance Beneficiary Notice.

Locke, MD