Can You Bill An Office Visit With An Injection?

Can 99214 and 96372 be billed together?

Since the physician is reporting an E/M service (99214) and a non-E/M service (96372) and the two services are significant and separately identifiable, the 25 modifier should be reported with the E/M service.

*The physician also should report the appropriate medication administered..

Does CPT code 90471 need a modifier?

If 90471 does not represent a duplicate of the service described by HCPCS code, modifier 59 may be to the 90471 code. In addition a diagnosis code specific to the disease for which the prophylactic vaccine is being administered, it should be linked to 90471.

What is the CPT code 90471?

Code 90471 is used when the drug is administrated by a medical assistant or nurse and the patient does not see the physician at all. This code would also be used for any patient 19 years of age or older regardless if physician is present and does face-to-face counseling.

Can 96372 and 90471 be billed together?

90471 should be used for vaccines and 96372 for drugs. You need to make sure when billing 96372 that you use a 59 modifier on the drug or it won’t pay. UNLESS IT’S A GHP PRODUCT. GHP wants the modifier on the 96372.

How many times can you bill 96372?

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 you bill 96372 with an office visit?

96372 is not a separately reimbursable service when billed with an office visit.

Can 99211 and 96372 be billed together?

With exception we can code Both together To repot 96372 with 99211, injection given without direct physician or other qualified healthcare professional supervision. append modifier 25 with injection code. Refer: CPT-2013, CPT code -96372.

What is a 76 modifier?

Instructions. Used to indicate a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service.

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.

How do you code Depo Provera?

When billing for injectable drugs use a HCPCS code to represent the drug. For example, Depo-Provera (150 mg, for contraceptive use) would be billed using the following codes. J1055: Injection; medroxprogesterone acetate, 150 mg. (HCPCS code is subject to change and is only used as reference example.)

Can you bill an office visit with a debridement?

In the wound clinic, a typical patient visit involves examination and assessment, cleansing and debridement, and removal and reapplication of wound dressings. If the physician performs a “significant, separately identifiable service,” it can be documented on the patient’s record as an E&M service with modifier 25.

How do I bill for 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 the CPT code for intramuscular injection?

96372The definition of CPT 96372 states “Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular,” and represents a single IM/SQ injection.

Does 96372 need a modifier?

Answer: CPT code 96372… should be reported for each intramuscular (IM) injection performed. … Note that when reporting multiple injections for professional services, you should append modifier 59 Distinct procedural service to the second and subsequent units of 96372.

What does CPT code 96374 mean?

96374—Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); IV push, single or initial substance/drug.