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Pharmacist billing G codes for PrEP visits

  • 1.  Pharmacist billing G codes for PrEP visits

    Posted 5 days ago

    Hello everyone,

    My health system (Community Health Network, Indianapolis, IN) currently provides PrEP services with our ID ambulatory pharmacist service, yet we are hoping to expand and leverage billing to justify to upper leadership an additional FTE. Specifically, hoping to drop G0013 and/or G 0011 codes for these visits, as typical 99211 E/M codes are not getting reimbursed for our PrEP visits.

    Are there any clinics with pharmacists in this academy that have experience with this that can discuss this with me and/or my director?

    Will include my work email. amills2@ecommunity.com

    Thanks in advance!

    Alex R. Mills, PharmD, BCACP, AAHIVP (he/him)



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    Alex Mills
    Indianapolis IN
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