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 I bill 99211 for injection?
One word of caution about 99211: You can’t bill for the administration of an injectable medication (90782) or for the administration of an immunization (90471, 90472) and a nursing visit at the same time. You can either bill for the 99211 plus the medications or bill for the injection plus the medications.
What can RN’s bill for?
Under that system, the only Evaluation and Management (E/M) code that a Registered Nurse can bill to is 99211. CPT defines this code as an “office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician.
Why are I not getting paid for CPT 96372?
Across the country, in offices and facilities, coders are having trouble with CPT® 96372 Therapueutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular. Providers are not being paid for this injection administration code because it is being applied incorrectly, insurance companies say. Here’s why.
Do you Bill the E / M and 96372 for admin?
We always bill the e/m and 96372 for admin in professional setting, the hospital we are affiliated charges for the drug…. however they are now requiring we also bill the “J” code. In our setting we never bill for drugs just the professional service provided? should we be billing both J code and 96372???
When to report 99211 or 96372 for denial?
Typically, 5 minutes are spent performing or supervising these services) for this visit would be inappropriate. Bottom Line: Insurance payers are not paying 99211 when reported on the same date of service as 96372. If you report these codes in combination, the payer will deny the claim.