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

Answer:
If the only service provided was an injection 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 for a blood pressure check and response to medication.

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Provider Contact Center: 888-355-9165

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TTY: 877-715-6397

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