When ibuprofen (eg, Advil, Motrin) is administered at the time of an office visit, can we report the medication or is it considered to be inherent to the evaluation and management (E/M) service?

Medications are not included in the practice expense of the Medicare Resource-Based Relative Value Scale for E/M codes (eg, 99201–99215). You can report Healthcare Common Procedure Coding System (HCPCS) Level II code A9150 (nonprescription drugs) if the practice has incurred any costs for the medication (ie, you cannot charge for samples). If the payer does not accept HCPCS Level II codes, report the more generic Current Procedural Terminology (CPT®) code 99070 (supplies). However, most payers do not pay for nonprescription medications provided in the office. If the payer considers the services non-covered, you can bill the parent if allowed under your payer contract.

A 12-month-old established patient is seen to remove blanket fuzz from...

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