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.
What is the CPT code for Cimzia injection?
The IV administration of the drugs below should be billed with the appropriate IV injection/infusion CPT code listed under Therapeutic Prophylactic, and Diagnostic Injections and Infusions….Article Guidance.
| Generic Name | Trade Name | HCPCS Code |
|---|---|---|
| certolizumab pegol* | Cimzia®* | J0717* |
| denosumab | Prolia/Xygeva® | J0897 |
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 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. Medicare uses G0008 as the administration code for flu vaccinations. Procedure code 96372 is billed for injections related to the provision of chemotherapy services. The proper CPT code to use is 96401-96402.
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.
What is CPT J0897?
J0897 – Injection, denosumab, 1 mg.
What is CPT code J0129?
HCPCS code J0129 for Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) as maintained by CMS falls under Drugs, Administered by Injection .
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.
Does CPT 20610 need a modifier?
3. The aspiration and/or injection procedure code may be billed in addition to the drug. Indicate which knee was injected by using the RT (right) or LT (left) modifier (FAO-10 electronically) on the injection procedure (CPT 20610). If the drug was administered bilaterally, a -50 modifier should be used with 20610.
