June 9, 2016

Question:
When my PA performs joint injections, can we report those services under the incident-to billing rules?

Answer:
If the PA scope of practice regulations in your state allow PAs to perform joint injections, the determining factor is whether the incident-to billing rules are met. If you previously set the plan of care for joint injections, they could be reported as incident-to. If the PA made the decision to perform the injection independently, it should be reported as a direct service.

*This response is based on the best information available as of 06/09/16.