Overview
SOMB code 13.59A is paid for the administration of an intramuscular or subcutaneous injection. It is often overlooked when billed alongside an office-visit code. Document the substance, dose, route, and site.
Billing Requirements
- IM or SC injection performed by (or under) the physician
- Substance, dose, route, and site documented
Common Audit Traps
⚠️ Alberta Health auditors specifically look for these mistakes when reviewing 13.59A claims:
- Failing to document the substance and dose administered
- Billing 13.59A for intravenous injections (not covered by this code)
Clinical Example
Patient attends for a scheduled IM injection of vitamin B12. Administered and documented. Bill 13.59A alongside the associated office visit if eligible.
Documentation Tips (Audit-Proof)
- Record the medication, dose, lot number (if applicable), route, and site
- Document the indication and patient tolerance
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