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Question:
Will Medicare pay for an injection if that’s the only reason for an office visit?
Answer:
If no other physician fee schedule service is being paid, Medicare will reimburse separately for the injection-only service, according to the Medicare Claims Processing Manual, chapter 17, section 20.5.7. Note that the injection must be the sole purpose of the office visit.
CPT® copyright 2023 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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