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Non-Facility Reimbursement Differences Non-facility (office): Higher reimbursement Facility-based (hospital outpatient): Often lower due to bundled payment systems Add-On Costs or Related Billable Services You may bill separately for: J-codes (drug supply) Office visits (if medically necessary and separately identifiable) Additional injections using units of 96372 or related codes Payment Variation Based on Place of Service (POS) POS codes strongly impact reimbursement

Fischer et al., 1999