Forum - Questions & Answers

Sep 6th, 2011 - lhaskin

96372

Two drugs are given in one injection. Is it correct to use 96372 one time or two?

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Sep 6th, 2011 - jschmutz   323 

re: 96372

You need to supply more information.

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Sep 7th, 2011 -

re: 96372

J1030 and J1100 were combined into one injection. 96372 was billed twice..is this correct?

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Sep 7th, 2011 - jschmutz   323 

re: 96372

CPT® code 96372, Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular, should be reported for each intramuscular or subcutaneous injection performed. Therefore, if two or three injections are performed, it would be appropriate to separately report code 96372 for each injection. Modifier 59, Distinct Procedural Service, wouldbe appended to the second and any subsequent injection codes listed on the claim form. Note that for professional reporting, code 96732 requires direct physician supervision. It is reported per injection, even if more than one substance or drug is in the single injection.

You didn't specify the type of injection you are doing, so you should verify that you are reporting the correct injection code.

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Sep 7th, 2011 - tdidier 6 

re: 96372

But you said the drugs were combined into one injection...I say one code.

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Sep 7th, 2011 - rphelps 615  1 

re: 96372

I say one also.

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