lc0008
New
Can 96372 be billed without the J code? For instance if a patient supplied their own medication bought through their pharmacy. We have billed with .01 on the J code but want to clarify if it is needed for payers. Thank you
You absolutely can, but the caveat is, is it reimbursable with the E&M? If the patient is just coming in for the injection then no, it wouldn't be reimbursable because it's not separately identifiable from the E&M. If the patient was receiving counseling or something along those lines and then also received an injection then that may be separately identifiable from the E&M, so you'd want to add the modifier 25 to the E&M. Some payers still bundle 96372 and the E&M together even with the modifier 25, and some payers want a different diagnosis between the 2 CPT codes. Hope this helps!This probably a silly question but I am brand new and wondering. Can you bill an E&M code with a 96372 if a psychiatrist is giving the injection?