Question: Can 99211 And 96372 Be Billed Together?

Can CPT code 96372 be billed alone?

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..

Can 99214 and 96372 be billed together?

Since the physician is reporting an E/M service (99214) and a non-E/M service (96372) and the two services are significant and separately identifiable, the 25 modifier should be reported with the E/M service. *The physician also should report the appropriate medication administered.

Does 96372 require a modifier?

Answer: CPT code 96372… should be reported for each intramuscular (IM) injection performed. … Note that when reporting multiple injections for professional services, you should append modifier 59 Distinct procedural service to the second and subsequent units of 96372.

What is included in 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 a 76 modifier?

Instructions. Used to indicate a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service.

What does CPT code 96374 mean?

CPT® Code 96374 in section: Therapeutic, prophylactic, or diagnostic injection (specify substance or drug)

Can CPT code 96372 be billed 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).

How do you code a bill injection?

Modifiers. When billing for injection or intravenous infusion with other services, it is important to bill accurately. When the injection/infusion code is billed with an Evaluation & Management (E/M) visit, a modifier code must be appended to the E/M code to ensure that both services are paid when appropriate.

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.

What does CPT code 96375 mean?

CPT® Code 96375 – Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration) – Codify by AAPC.

What is the 59 modifier?

The CPT Manual defines modifier 59 as follows: “Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day.

Can you bill for lidocaine?

Do Not Bill Lidocaine for Local Anesthetic Injections Although many PM&R coders have known it for years, the new Correct Coding Initiative (CCI), version 8.1, makes it official: J2000 (Injection, lidocaine Hcl, 50 cc) will not be reimbursed separately for local pain relief injections.

Can I bill 96372 with an office visit?

96372 is not a separately reimbursable service when billed with an office visit.

Can you bill an office visit with an injection?

The joint injection codes are assigned a zero-day global period, which means that an evaluation and management (E/M) service should not be billed on the same date. … An E/M service should not be billed for a planned injection service where the patient presents with no complication or new problem.

What modifier can be used with 96372?

When a patient receives two or three intramuscular or subcutaneous injections, CPT code 96372 should be reported for each injection performed (either IM or SubQ). Modifier 59, Distinct Procedural Service, would be appended to the second and any subsequent injection codes listed on the claim form.