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Reporting Multiple Injections 96372

Reporting Multiple Injections 96372

When billing for professional services, you should report 96372 Therapuetic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular for each medically appropriate injection provided, as instructed in CPT Assistant (May 2010; Volume 20: Issue 5):

Question: What is the appropriate CPT code to report when a patient receives two or three intramuscular injections?
Answer: CPT code 96372… should be reported for each intramuscular (IM) injection performed. Therefore, if two or three injections are performed, it would be appropriate to separately report code 96372 for each injection. Modifier 59, Distinct Procedural Service, would be appended to the second and any subsequent injection codes listed on the claim form. Note that for professional reporting, code 96732 requires direct physician supervision. It is reported per injection, even if more than one substance or drug is in the single injection.

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.

John Verhovshek
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About Has 569 Posts

John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.

8 Responses to “Reporting Multiple Injections 96372”

  1. Sylvia M. says:

    I have a question can you use cpt 96372 with 95117 w/modifier?

  2. Denise H says:

    When a provider injects the same joint (hip) with 3 separate injections of Euflexxa, 3 different entry points. Is this also only billed one time? Please advise. Thank You!

  3. Hulah Gorby says:

    If the patient is there for a sick visit (sinus congestion, fever, cough) and the doctor gives the a shot of depo medral 80mg and a prescription for antibiotic, can we bill the E&M, drug code J1020 x4 and 96372 Injection?
    If we do, we need a -25 modifier on the E&M; I think we can, but i’m being told by my boss, never bill the injection 96372 when you have a visit.
    I’m new to doctor office visits, so i’m not sure.

  4. jennifer fizer says:

    Hi Hulah you can bill the injection admin and the e/m level. I do injection and infusion coding daily and we bill both. Yes you do need the modifier.

  5. Munish Kumar says:

    Yes, If an injection is performed with EM office visit, we should append modifier 25 with EM, however if the purpose of visit is administration of injection then injection only should be coded.

  6. Angie says:

    A patient came in and was given an abdominal injection in the morning and again in the afternoon, she brought the med (lovenox). How do I bill this? There was no O/V. Do is use the 96372 twice with the drug code once (at $0) to show what we gave? Would it be better to just charge a nurse visit? Appreciate any input,

  7. Missy says:

    CPT code 64450 with a qty of 3 will this require a modifier?

  8. Marisa Collins says:

    How are infections billed if they are administered same site and same time different drugs?