What is the CPT code 96372?

Subcutaneous and Intramuscular Injection Non-Chemotherapy Instead, the administration of the following drugs in their subcutaneous or intramuscular forms should be billed using CPT code 96372, (therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular).

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?

You would use 96372. 90471 is used for Immunization administration.

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).

Can CPT 20610 and 96372 be billed together?

They are not used together for the same injection. The 20610 or 20605 are the admin codes for the joint injection the J code is the drug/substance injected. The 96372 is not coded for a joint injection.

Is CPT 96372 An administration code?

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. Procedure code 96372 is billed for injections related to the provision of chemotherapy services.

Can 96372 and 96374 be billed together?

Do not report CPT code 96365, 96374, 96372 and 96360 together unless there are two or more IV sites for infusion or injection.

Can 99213 and 96372 be billed together?

Yes. Put modifier-25 on your office visit and your 96372 will get paid as long as the patients insurance benefits cover it.

Who can Bill 96372?

Procedural code 96372 is performed by another healthcare provider, other than the physician or other qualified health professionals, without direct supervision for any or all purposes of patient assessment, provision of consent, safety oversight, and intra-service supervision of staff in a non-facility setting.

Can 99214 and 96372 be billed together?

Yes, it does as long as the documentation supports the E/M and admin. It does not require separate ICD-9 codes. You should still append modifier 25 because the work is being done for the E/M service.

Does 96372 need a modifier?

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). Documentation in the patient’s medical record must support the use of this modifier.

How do you bill chemo infusion?

For IV administered drugs, the CPT codes 96365-96368 and 96374-96375 should be used. Effective January 1, 2020, the Group 1 drugs are billed using a chemotherapy administration code, both the drug and the administration will be denied Medical necessity.