Admin Table of Contents
How do you bill when patient brings own medicine?
Since the nurse is performing the administration, 96372 is the code that should be billed. When they are seeing a patient and perform some evaluation and management, such as for a patient that is in with high BP and they assess, take information and pass it on to the physician, then they’d bill 99211.
Can CPT code 96372 be billed alone?
96372 CPT code reimbursement is allowed when the injection is performed alone or in conjunction with other procedures/services as allowed by the National Correct Coding Initiative (NCCI) procedure to procedure editing.
Can you bill an office visit with an injection?
You only need the documentation to support a significant encounter from the injection administration. You would never bill the E&M code and the Jcode for the drug only. If you cannot support a significant office encounter then you would bill the injection admin and the J code and not the E&M.
What revenue code should be billed with 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).
How do you bill for injections?
The CPT code 96372 should be used–Therapeutic, prophylactic, or diagnostic injection. However, this billing code can get rejected at times, mainly for the following reason: the procedure code already includes a general assessment of the patient.
How do you bill for nurse injections?
You can either bill for the 99211 plus the medications or bill for the injection plus the medications. When the nurse must make an evaluation of the patient (e.g., when giving a depo-progesterone shot, the nurse must consider, “might the patient be pregnant?”), then our practice uses the 99211.
Can you bill an injection without an office visit?
Unfortunately, no. 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 CPT code for injection administration?
96372
96372 CPT code: Administration and Injection coding guidelines.
What is the CPT code for methotrexate injection?
96401
A: Methotrexate is classified as a chemotherapy drug, specifically an antimetabolite. Therefore, the intramuscular injection of Methotrexate should be reported with CPT code 96401, representing injection of a non-hormonal antineoplastic.
What is procedure code 96401?
Chemotherapy
CPT® Code 96401 – Injection and Intravenous Infusion Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration – Codify by AAPC.