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What CPT code replaced 96372?

What CPT code replaced 96372?

CPT 99211 will be reported instead of 96372CPT when a substance is injected without a physician’s supervision.

How do I bill CPT 96360?

If more than one “initial” service code (CPT code 96360) is to be billed on the same date of service (patient has to come back for a separately identifiable service on the same day or has two IV lines per protocol), the service should be reported utilizing the most appropriate modifier.

What does CPT code 96360 mean?

CPT Definition: 96360: Intravenous Infusion, hydration; initial, 31 minutes to 1 hour.

Does CPT 96360 require a modifier?

As an FYI the only modifier’s allowed for the 96360 initial code is 59 and PD. Hydration must be medically reasonable and necessary. If documentation supports a clinical condition that warrants hydration, other than one brought about by the requirements of a procedure, the hydration may be separately billable.

Can you bill 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.

Can 99213 and 96372 be billed together?

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

Can an office visit be billed with an injection?

It is true that an evaluation and management code, an E/M or office visit, can be reported with a minor procedure such as an injection, but only if the E/M is significant and separate and exceeds the “pre-service evaluation” that is inherent to the injection.

What is the correct hierarchy for infusions and injections?

When coding for injection and infusion services, selection of the initial service is made based on a hierarchy of services. Infusions are at the top of the hierarchy and are primary to IV pushes which are primary to injections. The selection of an initial service is also based on a hierarchy of substances.

Can 96372 be billed with an office visit?

96372 CPT code reimbursement is allowed when the injection is performed alone or in conjunction with other procedures/services as allowed by NCCI.

Can you bill a 96372 with an office visit?

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