Tenn. Comp. R. & Regs. 0800-02-18-.06

Current through October 22, 2024

Section 0800-02-18-.06 - INJECTIONS GUIDELINES

Reimbursement for injection(s) shall include CPT® code 96372 and the appropriate codes listed in the HCPCS section of the rate tables. Other surgery procedure codes defined as injections include the administration portion of payment for the medications billed. Follow the Medicare guidelines in effect for the date of service for both single and multiple use vials of injectable medications for both medications and procedures. Immunization codes (vaccines and toxoid) should be reimbursed for both the medication and the procedure, reported separately with number of units administered.

Public necessity rule filed June 5, 2005; effective through November 27, 2005. Public necessity rule filed November 16, 2005; effective through April 30, 2006. Original rule filed February 3, 2006; effective April 19, 2006. Amendments filed November 27, 2017; effective February 25, 2018. Administrative changes made to this chapter on September 10, 2019; "Tennessee Workers' Compensation Act" or "Act" references were changed to "Tennessee Workers' Compensation Law" or "Law." Amendments filed June 24, 2021; effective September 22, 2021. Amendments filed June 27, 2023; effective 9/25/2023.

Authority: T.C.A. §§ 50-6-204, 50-6-205, and 50-6-233 (Repl. 2005).