TMPPM 2009 > Texas Medicaid Services > Family Planning Services > Procedure Codes and Reimbursement Amounts

   
 

20.7.6.2 Injection Administration-Title XIX Only

Injection administration billed by a provider is reimbursed separately from the medication. When billing procedure code J1055, the injection administration should be billed using procedure code 90772. If billed without procedure code J1055, procedure code 90772 must be billed with a family planning diagnosis and a family planning modifier (FP) and a description of the medication in the Remarks field of the claim. Injection administration is not payable to outpatient hospitals.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2008 American Medical Association. All rights reserved.
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