96372 cpt code - Health Topics
The Current Procedural Terminology (CPT ®) code 96372 as maintained by American Medical Association, is a medical procedural code under the range - Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration). When billing for professional services, you should report 96372 Therapuetic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular for each medically appropriate injection provided, as instructed in CPT Assistant (May 2010; Volume 20: Issue 5): Question: What is the appropriate CPT code to report when a patient receives two or three intramuscular ... Good day, Can you bill an E & M code with CPT code 96372?
Understanding the Context
Injection: Do not use CPT® 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular. This code does not include injections for allergen immunotherapy. But CPT says we should bill 99211 (Office or other outpatient visit ...) if this visit takes place without physician supervision. We used to bill an E/M code but stopped when we were told at a coding seminar a few years ago that we could not do this.
Image Gallery
Key Insights
What should we report? Answer: You cannot ever bill 99211 with 96372. In what situation is your charge entry employee adding the modifier? You will not find anything stating that this modifier is not to be used with CPT code 96372 because there is no such rule, and in fact there are situations in which the modifier is required. But whether or not a modifier 59 is appropriate on this code would depend on what other services are billed by the provider on the same ...
Related Articles You Might Like:
will drinking water lower blood pressure how does exercise benefit mental health american heart association scholarshipsFinal Thoughts
Codes 96372 and 96373 may be reported with any hydration therapy, IV drug administration, or chemotherapy administration during the same encounter. I knew I was right! My client had asked if CPT® 96401 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic or CPT® 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular is correct to report administration of Prolia®. With injection administration code 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) paying only $25.39 and the ceftriaxone sodium drug (J0696) reimbursing approximately $15, you can't afford to lose money when you provide both the shot and drug. The greater intensity of 96401, as compared to 96372, is a function of the type of drug (s) administered during each service. CPT® parenthetical instructions direct the use of 97372 for “non-antineoplastic hormonal therapy injections,” excluding injections for allergen immunotherapy (95115-95117).