How many times can 96372 be billed?
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 a nurse Bill 96372?
Question: If a patient pays for her medicine and goes to the clinic for the nurse to give the injection, we can bill CPT 96372 (Therapeutic, prophylactic or diagnostic injection …).
How do you bill for nurse injections?
You can either bill for the 99211 plus the medications or bill for the injection plus the medications. When the nurse must make an evaluation of the patient (e.g., when giving a depo-progesterone shot, the nurse must consider, “might the patient be pregnant?”), then our practice uses the 99211.
Can 96372 be billed with 99214?
Yes, it does as long as the documentation supports the E/M and admin.
Can 90471 and 96372 be billed together?
It cannot be billed with 96372, 90460, 90471, etc. Also do not bill 99211 for the interpretation.
Can CPT code 96372 be billed twice?
What is the CPT code 96372?
The 96372 CPT code is is a procedural code defined as therapeutic, prophylactic, and diagnostic substance by subcutaneous or intramuscular injections and infusions. . While this code is not often used in the mental and behavioral health setting, there are certain specialties that do use it.
What does E/M of 96372 mean?
The nurse is only following physician orders; if anything is out of the ordinary, the physician is called in, the injection is abandoned, and a higher level E/M is reported. For example, in an obstetric /gynecology office setting, a Depo-Provera® (Depo) injection would be a scheduled visit reported with 96372 only.
Does the CPT code 99381 need a modifier?
The Preventive Medicine codes (99381-99412, 99429) do not need Modifier 25 to indicate a significant, separately identifiable service when reported in addition to the diagnostic and therapeutic Injection service. The Preventive Medicine codes include routine services such as the ordering of immunizations or diagnostic procedures.