What is CPT code 96372 used for?
CPT® code 96372: Injection of drug/substance under skin or into muscle | American Medical Association.
What does CPT code 96372 pay?
The Current Procedural Terminology (CPT) code 96372 as maintained by the 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); …
Can you bill Office visit with 96372?
If you administer an injection in your office, e.g., naltrexone extended-release (Vivitrol®) or depot antipsychotics, you can bill for the administration of the injection separately from the billing for the visit itself. The CPT code 96372 should be used–Therapeutic, prophylactic, or diagnostic injection.
What modifier is needed for CPT 96372?
Modifier 59
The 96372 CPT code is to be billed for each injection performed on a patient. Modifier 59 should be used when the injection is a separate service from other treatments.
Do you bill 96372 with J3301?
Typically 96372 is included in the drug J3301 and that is the only J code to use.
How many units can you bill for 96372?
two units
The IM or SQ injection can be billed more than once or twice. If the drug is prepared and drawn up into two separate syringes and it is then administered in two individual injections in two distinct anatomic sites, you can bill two units of code 96372 (billing second unit with modifier 76).
What diagnosis code goes with 96372?
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).
How many units can you bill 96372?
Can 96372 be billed with 99214?
Yes, as long as your documentation supports it.
Can CPT 99214 and 96372 be billed together?
How do you bill 96372 for multiple injections?
Answer: CPT code 96372… should be reported for each intramuscular (IM) injection performed. Therefore, if two or three injections are performed, it would be appropriate to separately report code 96372 for each injection.
Does Medicare cover CPT code 96372?
CPT 96372 Medicare
Only specific types of vaccines can be billed with CPT 96372. Most Vaccines are generally reported with 90471-90472. In addition, G codes are billed as administrative codes for Vaccines like flu (CPT G0008).
Can 99213 and 96372 be billed together?
Guest. Yes. Put modifier-25 on your office visit and your 96372 will get paid as long as the patients insurance benefits cover it.
How many times can you bill 96372?
The IM or SQ injection can be billed more than once or twice. If the drug is prepared and drawn up into two separate syringes and it is then administered in two individual injections in two distinct anatomic sites, you can bill two units of code 96372 (billing second unit with modifier 76).
Can you bill CPT code 96372 alone?
Can CPT Code 96372 Be Billed Alone? Yes, it is allowed to be billed alone when the injection is performed alone or in conjunction with other procedures/services as allowed by the National Correct Coding Initiative (NCCI) procedure to procedure editing.
How many times can 96372 be billed?
What is the difference between CPT code 96372 and 90471?
90471 is an Immunization administration code. TB TEST IS NOT AN IMMUNIZATION. Furthermore 96372 is for Therapeutic/Diagnostic injection, Subcutaneous or Intramuscular.
Can CPT 96372 be billed alone?
Can 96372 and 90471 be billed together?
90471 should be used for vaccines and 96372 for drugs. You need to make sure when billing 96372 that you use a 59 modifier on the drug or it won’t pay. UNLESS IT’S A GHP PRODUCT. GHP wants the modifier on the 96372.
When do you use 96372 vs 90471?
Can you bill CPT 96372 twice?