Can 96372 be billed with 99211?

Answer: You cannot ever bill 99211 with 96372. In fact, according to the Correct Coding Initiative (CCI), no modifier will separate the edit bundling these codes together, so there are no circumstances under which they can be reported together.

Can 99283 and 96372 be billed together?

I believe the question is can both the 96372 AND the 99211 be billed together. The answer is no. The admin code of 96372 is bundled into the e/m code 99211.

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 96372 An E M code?

The procedure code 96372 already includes a general assessment of the patient. If the need for the injection was already determined at the previous visit (billed as an E/M code), you cannot bill again for the same service. Procedure code 96372 is billed for injections related to the provision of chemotherapy services.

What does CPT code 96372 pay?

The physician or an assistant under direct physician supervision administers a therapeutic, prophylactic, or diagnostic substance by subcutaneous (subq or SQ) or intramuscular 0r IM injection (96372 CPT code), intra-arterial injection (96373), or by push into an intravenous catheter or intravascular access device ( …

Can you bill CPT 96372 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.

Who can bill CPT 96372?

Can 20550 and 20551 be billed together?

Injections for plantar fasciitis are billed with CPT code 20550 and ICD-9-CM 728.71. Injections for calcaneal spurs are billed as other tendon origin/insertions with CPT code 20551. Injections that include both the plantar fascia and the area around a calcaneal spur are to be reported using a single CPT code 20551.

Can you bill multiple units of 96372?

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).

What revenue code should be billed with 96372?

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).

Who can Bill a 99211?

Under Medicare law, only physicians and specified non-physician practitioners (nurse practitioners, clinical nurse specialists, physician assistants and certified nurse midwives) (“NPPs”) can bill for 99211 and any other E/M services which are medically necessary.

Can You Bill 99211 with chemotherapy?

If chemo-administration is performed on the same DOS, a 99211 cannot be billed regardless of how well it’s documented. This allows for the proper E&M to be billed.” If chemo teach is what the patient is coming in for, yes, most of the time the NP does these, they can chart a 99211 which states, “Office or other outpatient visit for the E&M of an established patient, that may not require the presence of a physician.

Does 96372 need a MODIFER?

Whenever you use 96372 in conjunction with any other infusions, hydrations or IV pushes, you will need to add the -59 modifier to the 96372. Look in your CPT code book.

Does 96372 need a modifier?

When you need to bill an office visit and an injection on the same day, you have two options. The cpt 96372 is for an intramuscular injection of a J-code. You can bill the office visit and the substance all day and they will all get paid separately with no modifiers.