Recommendations

What is the CPT code 96372?

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).

What is the difference between CPT code 96372 and 90471?

You would use 96372. 90471 is used for Immunization administration. I hope this helps!

Can 96372 be billed with 99214?

Yes, it does as long as the documentation supports the E/M and admin. It does not require separate ICD-9 codes. You should still append modifier 25 because the work is being done for the E/M service.

Can 90471 and 96372 be billed together?

It is not an immunization or vaccine. CPT code 85680 is a global service and includes both the administration and interpretation. It cannot be billed with 96372, 90460, 90471, etc. Also do not bill 99211 for the interpretation.

Can CPT code 96372 be billed twice?

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).

Can 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.

Does CPT 96375 need a modifier?

CPT codes 96374 and +96375 are considered integral to the intubation procedure, therefore you cannot separately code and bill them. However, if the IV pushes are separate and distinct from the intubation, assigning the IV push codes with modifier -59 (distinct procedural service) is appropriate.