tci Part B Insider - 2015 Issue 20

Injections: 3 Tips Lead You to Antibiotic Injection Pay

Medicare typically does cover these shots for certain conditions. It’s a common scenario: A patient presents to your office with an infection so serious that the physician chooses to administer an antibiotic injection on the spot. But if you’re using a “one and done” coding strategy for your ceftriaxone (brand name Rocephin) shots, you could be losing money.  With injection administration code 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) paying only $25.39 and the ceftriaxone sodium drug (J0696) reimbursing approximately $15, you can’t afford to lose money...

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