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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 1-90772. If billed without procedure code J1055, procedure code 1-90772 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.
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