Can CPT code 96372 Be bill with an office visit?

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 is the difference between CPT code 96372 and 90471?

CPT code 96372 is used for certain types of vaccinations. Most vaccinations are typically coded with 90471 or 90472. Medicare uses G0008 as the administration code for flu vaccinations.

Can 96372 be billed with 99214?

Yes, as long as your documentation supports it.

Can I bill an office visit with an injection?

You only need the documentation to support a significant encounter from the injection administration. You would never bill the E&M code and the Jcode for the drug only. If you cannot support a significant office encounter then you would bill the injection admin and the J code and not the E&M.

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 I bill 99211 for 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.

What is the CPT code 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).

What is the CPT code for sub Q injection?

Sub-Q infusions lasting 15 minutes or less are reported with the sub-Q/IM injection code for drug administration, 96372. Injection (including 96372) with Separate E/M All procedures are valued for reimbursement to include an assessment of the patient at the encounter (vital signs, appearance of the patient, etc.).

When to not report E/M code 96379?

Do not report 96365-96379 with any codes that describe a procedure of which IV push or infusion are a part. Hospitals may not report an E/M code in addition to 96372 or 96373 when the sole purpose of the visit is drug administration. This guidance should resolve any problems you were having with 96372.

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.