can you bill 96372 and an office E&M code ?

re: can you bill 96372 and an office E&M code ?

For this combinations of services, CPT® codes 96372 is designated with indicator '1' in the NCCI edit list for E/M code. If this is a separate, distinct service (e.g., performed during a separate patient encounter), submit CPT® modifier 59 to indicate that the injection procedure is a separate service. Documentation in the patient’s medical record must support the use of this modifier. If the visit is related to 96372, do not bill E/M. Code 99211 can not be billed with 96372.

re: can you bill 96372 and an office E&M code ?

For Medicare we also need to bill drug code for which 96372 is billed. If patient brought drug from out of pocket then you need to bill drug code with $0.00 and also add KX modifier with 96372. If you are billing with OV then use 25 modifier with OV code.

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