Billing / Coding FAQs

No. Although the injections are billed under the supervising physician’s NPI, he or she is not required to see the patient or document any notes in the patient’s medical record.

A service that is billed as “incident to” is one that is furnished as an incidental but integral part of the physician’s professional services in the course of the diagnosis or treatment of the patient’s injury or illness.

Therefore, in order to bill for injections provided “incident to” by an NP or NPP, the service(s) must be:

• An integral, although incidental, part of the physician’s professional service
• Commonly rendered without charge or included in the physician’s bill
• Of a type that are commonly furnished in physician’s offices or clinics
• Furnished by the physician or by auxiliary personnel under the physician’s direct supervision

Reference 

• CMS IOM Pub. 100-02 Medicare Benefit Policy Manual, Chapter 15, Section 60.1