JUN 12, 2018
Injection Billing Sooner Than 28 Days
Question: We treated a patient with an anti-VEGF drug in the left eye. Two weeks later the patient returned for bilateral injections. The left eye drug was billed as $0.00 because it was free. However, the payer still denied the claim for the bilateral injection. Should we have submitted differently?
Answer: You can bill only for the left eye as the payer states. When the drug is provided too soon according to FDA guidelines, the injection fee also will not be covered.
Learn more about injections in Retina Coding: Complete Reference Guide.