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Injection Place of Service Restrictions
Billing and Reimbursement
Policy Number: RP-P-027
Last Updated: Sept. 19, 2022
Professional 837P charges for therapeutic, prophylactic or diagnostic injections when rendered in certain places of service are not payable. Professional services (837P) submitted with a facility place of service (such as 21, 22 or 23) will deny as provider liability.
Documentation Submission:
Documentation must identify and describe the drug, dosage and reason administered. Therapeutic, prophylactic and diagnostic injections should be coded under revenue code 630-636 and not revenue code 250-259 (reserved for billing inpatient Part B drugs).