What does CPT code 96372 pay?

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 an injection with an office visit?

It is true that an evaluation and management code, an E/M or office visit, can be reported with a minor procedure such as an injection, but only if the E/M is significant and separate and exceeds the “pre-service evaluation” that is inherent to the injection.

Does 96372 require a modifier?

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.

Can you bill CPT code 96372 twice?

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).

Do I need a modifier for 96372?

How do I bill 96372 to Medicare?

A: Medicare requires the use of CPT code 96372 –Therapeutic, prophylactic, or diagnostic injection, specify substance or drug; subcutaneous or intramuscular for the administration of biologics.

Can you bill a nurse visit with an injection?

One word of caution about 99211: You can’t bill for the administration of an injectable medication (90782) or for the administration of an immunization (90471, 90472) and a nursing visit at the same time. You can either bill for the 99211 plus the medications or bill for the injection plus the medications.

Is CPT 96372 An administration code?

Across the country, in offices and facilities, coders are having trouble with CPT® 96372 Therapeutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular. As this code is applied incorrectly, providers are not being paid for this injection administration code.

Can 96372 be billed with 99213?

Guest. Yes. Put modifier-25 on your office visit and your 96372 will get paid as long as the patients insurance benefits cover it.

Does CPT code 96372 require a modifier?