96372

Currently Pediatrics,

Disagreement between appropriate billing of 96372 with EM on consecutive days.

Say a patient is seen on initial date of service Dx with otitis media and an antibiotic injectionis ordered by provider and administered by the CMA.
The bill for that days service typically looks like this: 99214,25 96372(injection) j0696.4(1 gram rocephin)

Then patient returns for two visits on days 2 and 3, PRactice policy was implemented to require a provider perform a basic exam on patient and confirm dosing etc. Sometimes the same provider sees patient that initially dx and ordered the rocephin, and sometimes a different provider.
This was a policy put in place that requires antibiotic injections, depo provera and alternative vaccine schedules to be seen by a provider.

Is the 96372 billable in addition to an office EM at a non facility practice if the physician does not perform the injection themselves. Is it okay to bill an EM each additional day, I have a heard time proving any medical necessity or MDM is warranted in addition to the orig provider assesment and plan of ROCEPHIN 1 GRAM by injection route times 3 days