Is 96374 an add on code?
Intraarterial injections are reported with code 96373. IV push is reported with 96374 for a single or intial drug or substance. Additional sequential IV push is reported with add-on codes 96375 for a new drug or substance or 96376 for the same drug or substance when provide in a facility.
How do you code multiple injections?
If a provider wishes to report multiple injections (intramuscular or subcutaneous) of the same therapeutic medication, he or she may choose to report code 96372 (therapeutic, prophylactic, or diagnostic injection [specify substance or drug]). The number of administrations would be reported as the units of service.
What is a house call practice?
The modern house call means going to see patients where they live, whether it is the family home, nursing home, assisted living center or hospice house. House calls are good medicine, and they can increase a practice’s market share and enrich a physician’s career.
Does 96374 need a modifier?
In that case, you would bill CPT code 96374, “Intravenous push, single or initial substance/drug” with modifier -59 because the incident is separate from the first visit and another IV placement had to be performed. Time is a factor in all hydration and infusion codes.
How do you document a home visit?
Home Visit Checklist
- Make notes on corresponding areas of concern during house calls.
- Take optional photos (with patient approval) for tracking of treatment and other medical concerns.
- Generate reports on the spot for easy documentation of house calls.
- Do not miss another house call with iAuditor’s scheduling feature.
What modifier should you use for CPT 96372?
When a patient receives two or three intramuscular or subcutaneous injections, CPT code 96372 should be reported for each injection performed (either IM or SubQ). Modifier 59, Distinct Procedural Service, would be appended to the second and any subsequent injection codes listed on the claim form.
What modifier do I use for CPT code 96372?
yes, you can use modifier 59 on procedure 96372 and both administrations will get paid.
What diagnosis is used with 96372?
CPT Code 96372. CPT code 96372 is defined as a “therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular.” Drugs that rheumatologists typically administered under 96372 are injectable gold sodium thiomalate (Myochrysine) and denosumab (Prolia).
Does CPT code 96372 require a modifier?
The cpt 96372 is for an intramuscular injection of a J-code. You can bill the office visit and the substance all day and they will all get paid separately with no modifiers. The injection administration is what the insurances like to include in the office visit.