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Wiki 96372 - When it it appropriate to use this code?
- Thread starter cpatty476
- Start date
june616
Networker
This is used for NON-immunizations. So things like B-12, testostorone, etc. It can billed with an office visit with a -25 modifier attached to the visit.
ccarte10
Guest
Billing 96372 to HAP
I am receiveing denials on code 96372 when the pt supplies their own meds. Previously we were told to bill the 96372 with mod -59 and it would always get covered. This year, we are getting denials from HAP stating "add-on codes must not be reported as stand-alone codes". Does anyone know the trick to billing these or are they no longer covering injections only??? HELP!!!
I am receiveing denials on code 96372 when the pt supplies their own meds. Previously we were told to bill the 96372 with mod -59 and it would always get covered. This year, we are getting denials from HAP stating "add-on codes must not be reported as stand-alone codes". Does anyone know the trick to billing these or are they no longer covering injections only??? HELP!!!
mitchellde
True Blue
we always put a 25 on the ov if there is one and then bill the 96372 along with the J code with a .01 charge which is then adjusted off. I have found that several carriers will not pay an injection charge without the J code being listed.
domaha28
Networker
96372
I have also put the mod 25 on the office visit and used the above code for B12 we give in the office. I have recently found they are denying the 96372 even though I have added the mod 25 to the OV. I have never used the J code on the claim. Could this be why? Not an issue before but recently have received the denial on the 96372. Thanks!
I have also put the mod 25 on the office visit and used the above code for B12 we give in the office. I have recently found they are denying the 96372 even though I have added the mod 25 to the OV. I have never used the J code on the claim. Could this be why? Not an issue before but recently have received the denial on the 96372. Thanks!