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© 2021 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.

Published Date:12/30/2020

Printed Date: 9/22/2015

URL: http://palmgba.com/marlowe/redesign6/article.html

If a patient presents to the office for an injection, infusion or venipuncture, would it be acceptable to submit an office or other outpatient visit CPT code?

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Answer
If the only service provided was an injection, infusion or venipuncture, Palmetto GBA will not reimburse CPT code 99211 unless another unrelated service is provided and the requirements for CPT code 99211 have been met.

Example
The patient presents to office for routine blood work; however, he/she started on a new medication for hypertension and the provider requested him/her follow-up with the ancillary staff for a blood pressure check and response to medication.

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Last Updated: 12/30/2020

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