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When billing CPT 96372 (Therapeutic, prophylactic, or diagnostic injection) and 90837 (Psychotherapy, 60 minutes with patient), you should use modifier 25 on the psychotherapy code (90837) to indicate that the psychotherapy service is a separate and significant service from the injection administered on the same day. Additionally, ensure that the documentation supports the medical necessity and distinct nature of both services. It's also essential to check specific payer guidelines, as they may have additional requirements for billing these codes together.
What else can I help you with?
Can CPT 96413 and 96372 be billed together?
CPT codes 96413 and 96372 can generally be billed together, as they represent different services. Code 96413 is used for the administration of chemotherapy, while 96372 is for the administration of an injection. However, it's important to check specific payer policies and documentation requirements, as some insurers may have specific rules regarding billing for these services together. Always ensure that proper medical necessity and documentation are maintained to support both procedures.
Can you bill 96372 and 96402 together?
Yes, you can bill 96372 (therapeutic, prophylactic, or diagnostic injection) and 96402 (chemotherapy administration, subcutaneous or intramuscular) together, provided that the services are distinct and necessary. However, it is essential to ensure that documentation supports both procedures, as well as adherence to payer guidelines to avoid bundling issues. Always check specific payer policies, as they can vary in terms of billing requirements.
What is the medical billing code for intramuscular injection?
CPT procedure code: 96372 (NOTE: You would also need to specify another code for the substance or drug which was injected)
What does procedure code 96372 mean?
Procedure code 96372 refers to the administration of an injection, specifically for therapeutic, prophylactic, or diagnostic purposes. It is commonly used for billing and coding in medical settings when a healthcare provider administers a subcutaneous or intramuscular injection. This code does not include the medication itself, which is billed separately.
What is the medical billing code 96372 for?
CPT code 96372 is reported for "therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular". The medication administered during the injection must also be reported in order for the claim to receive possible reimbursement. The code cannot be reported for injections given without direct physician supervision.
What is code 96372?
96372 is the procedure code indicating an injection. It is not a diagnosis code.
If we bill 99213 and 96372 and j3301 should we bill a 59 modifier on the 96372?
Yes, you should use a modifier 59 on the 96372 if it represents a separate and distinct service from the evaluation and management (E/M) service coded as 99213 and the J3301 injection. The 59 modifier indicates that the procedure performed is not typically encountered or performed on the same day as the other service, thus justifying separate billing. Always ensure proper documentation supports the use of the modifier.
What is diagnosis code 96372?
96372 is the procedure code indicating an injection. It is not a diagnosis code.
What revenue code do I Bill 96372?
Revenue code 0636 is typically used to bill for the administration of therapeutic infusions, including the administration of vaccines or injections, which aligns with procedure code 96372. This code represents the administration of a therapeutic, prophylactic, or diagnostic injection. It's essential to verify with your specific payer guidelines, as there may be variations in billing practices.
What is cpt code 96372?
CPT code 96372 is used to describe the administration of a therapeutic, prophylactic, or diagnostic injection into a muscle or subcutaneous tissue. This code is typically used for the injection of drugs or substances that require administration by a healthcare professional. It does not cover the medication itself, only the procedure of injection. It's important for billing and documentation purposes in medical settings.
What are the billing codes for depo provera?
V25.02 or V25.49 are the ICD9 codes for administration of depo provera. For a first injection, it's V25.02, and V25.49 for second or subsequent injection.
What revenue code is used with cpt code 96372?
CPT code 96372, which is used for therapeutic, prophylactic, or diagnostic injection (subcutaneous or intramuscular), typically pairs with revenue code 96360 for the administration of the injection. However, the specific revenue code can vary based on the facility and the billing practices. It's essential to verify with the specific payer guidelines for accurate coding.
