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).