US · guidance
CMS Pub. 100-04, ch. 17, § 20.5.7
Injection Services
Where the sole purpose of an office visit was for the patient to receive an injection, payment may be
made only for the injection service (if it is covered). Conversely, injection services (codes 90782,
90783, 90784, 90788, and 90799) included in the Medicare Physician Fee Schedule (MPFS) are not
paid for separately, if the physician is paid for any other physician fee schedule service furnished at the
same time. Pay separately for those injection services only if no other physician fee schedule service is
being paid. However, pay separately for cancer chemotherapy injections (CPT codes 96400-96549) in
addition to the visit furnished on the same day. In either case, the drug is separately payable. All
injection claims must include the specific name of the drug and dosage. Identification of the drug
enables you to pay for the services.
History
(Rev. 397, Issued: 12-16-04, Effective: 01-01-05, Implementation: 01-03-05)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
a47670ff242155b1ef7ebfa74872e0b51cf2f473d1afa1d34575652cb9def467
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