Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2020 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
Chemotherapy Administration (or Nonchemotherapy Injection and Infusion) and Evaluation and Management Services Furnished on the Same Day
For services furnished on or after January 1, 2004, Palmetto GBA will not pay for CPT code 99211, with or without CPT modifier 25, if it is billed with a nonchemotherapy drug infusion code or a chemotherapy administration code. This also applies when it is billed with a diagnostic or therapeutic injection code on or after January 1, 2005.
For more information, please visit the Medicare Claims Processing Manual, 100-04, chapter 12, Section 30.5 F at CMS website (PDF, 1.3 MB).
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 07/01/2019