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Should You Bill Injection With TB Test?

Posted on 21. Jan, 2009 by in Coding Challenge, Hot Coding Topics

Challenge: When a patient reports to the physician for a tuberculosis (TB) skin test, can you report the injection separately with 96372?

Answer: No, you cannot report 96372 (Therapeutic, prophylactic or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) on this claim. The TB test is not a subcutaneous or intramuscular injection, and the code for the TB skin test includes the injection service. On the claim, report the following:

86580 (Skin test; tuberculosis, intradermal) for the test with V74.1 (Special screening examination for bacterial and spirochetal diseases; pulmonary tuberculosis) linked to show the reason for the test.

Testing for other infectious diseases? William Dettwyler can help keep your coding straight.

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