tci Part B Insider - 2010 Issue 33

Reader Questions: Check Instruction Before Submitting 98960

Question: My physician wants to teach his patients how to give themselves Imitrex injections. We will get the medication from the pharmaceutical reps. Do I bill for the injection, or will I bill an office visit for the teaching? Answer: Since the patients will give themselves the injections, you'll focus on the teaching. How you report the service depends on the actual instruction and who provides the education. At first glance, your best option might be 98960 (Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient [could...

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