I am new to the forum and I looked thru the past threads and couldn't find anything to help so am going to toss this out there for advise.
In the last 6 months BCBS and Aetna have not been paying for this code, they were prior to this. We often give 2 injections at 2 different sites and we were told by BC BS that we had to add a modifier 76 to the 2nd 96372 but they are not paying for any code of 96372. Are others having this problem?
I spoke to Principal the other day after recieving a denial for that code. They told me that we were not to be billing this code anymore and the charge for giving the injection was to be included in the cost of the antibiotic. I specifically said to her "what you are saying is that I am to increase the cost of my serum to make up for the administration?" She said yes. I have not heard anything about doing this. I have my new CPT book and 96372 is in that book.
Help!! are others having this code denied recently? Is there another code I should try? These are antibiotic and pain management injections we are giving.
In the last 6 months BCBS and Aetna have not been paying for this code, they were prior to this. We often give 2 injections at 2 different sites and we were told by BC BS that we had to add a modifier 76 to the 2nd 96372 but they are not paying for any code of 96372. Are others having this problem?
I spoke to Principal the other day after recieving a denial for that code. They told me that we were not to be billing this code anymore and the charge for giving the injection was to be included in the cost of the antibiotic. I specifically said to her "what you are saying is that I am to increase the cost of my serum to make up for the administration?" She said yes. I have not heard anything about doing this. I have my new CPT book and 96372 is in that book.
Help!! are others having this code denied recently? Is there another code I should try? These are antibiotic and pain management injections we are giving.