96372 Injection

stacymoch

Networker
Messages
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Location
Prineville, OR
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We have a patient with this request:
Dilaudid as 1 injection (Site: L upper arm), Promethazine as 1 injection (Site: L hip), Toradol, dexamethasone, and Diphenhydramine as 1 mixed injection (Site: R hip)

Normally, the doctor would mix all of the above medications and give 1 injection into the hip.
Billing: 96372, J1170, J2550, J1885, J2550, J1885, J1200

But with multiple syringes at the request of the patient can we bill 96372 for all three sites injected?
 

marvelh

Expert
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302
Location
Denver Colorado
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Per the May 2010 CPT Assistant:
Question: What is the appropriate CPT code to report when a patient receives two or three intramuscular injections?
Answer: CPT code 96372, Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular, 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
 
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